Percutaneous pars interarticularis screw fixation: a technical note.
Eur Spine J
; 25(6): 1651-4, 2016 06.
Article
en En
| MEDLINE
| ID: mdl-26210310
ABSTRACT
PURPOSE:
A conventional midline posterior approach is used for most of the described surgical techniques. We describe a technique of percutaneous fixation of the pars interarticularis, augmented where necessary by grafting the defect, which minimises muscle injury.METHOD:
A 4.5 mm partially threaded dynamic compression screw is placed over a wire inserted percutaneously across the pars interarticularis defect. Compression is achieved across the pars interarticularis defect on placement of the screw. The screw is locked in a compressed state.RESULTS:
The patient is mobilised the same day with a corset for comfort and discharged the following day. Aerobic fitness is maintained for 3 months; then, focused rehabilitation performed until a CT scan confirms healing at 5-6 months, at which stage full (sports) activity is resumed.CONCLUSIONS:
The minimal tissue injury and small incision used allow for the minimising of complications and for a rapid recovery and discharge from hospital. With adolescents, we have the opportunity to treat symptomatic pars interarticularis defects with minimal disruption to their academic and physical development.Palabras clave
Texto completo:
1
Banco de datos:
MEDLINE
Asunto principal:
Columna Vertebral
/
Tornillos Óseos
/
Procedimientos Ortopédicos
Límite:
Adolescent
/
Humans
Idioma:
En
Revista:
Eur Spine J
Asunto de la revista:
ORTOPEDIA
Año:
2016
Tipo del documento:
Article
País de afiliación:
Reino Unido