Minimally invasive repair of pars defects can be achieved via means of cannulation followed by tubular decortication. Given these injuries typically occur in pediatric and adolescent patients, minimal disruption to surrounding tissue during the repair is ideal. The use of an endoscopic approach to assist with repair and fusion across the pars defect is a novel consideration in the pediatric demographic, and in this case report we highlight our experience and rationale for this in treating a 14-year-old male athlete with lumbar 5 pars fracture. Radiographic evidence of bony fusion was seen by the third postoperative month. In this case report we demonstrate the invasive nature of this repair can be minimized further than current convention with successful radiographic and clinical outcomes.
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http://dx.doi.org/10.1016/j.clineuro.2023.107920 | DOI Listing |
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