Endoscopic-assisted fusion for lumbar pars fracture repair in an adolescent patient.

Clin Neurol Neurosurg

Department of Neurological Surgery, University of Miami, Jackson Memorial Hospital, Miami, FL, United States. Electronic address:

Published: October 2023

AI Article Synopsis

  • Minimally invasive techniques, like cannulation and tubular decortication, are effective for repairing pars defects in pediatric patients, minimizing tissue disruption.
  • An endoscopic approach is introduced as a novel method for repairing a lumbar 5 pars fracture in a 14-year-old athlete.
  • Successful outcomes, including radiographic evidence of bony fusion by three months post-surgery, suggest that this approach further reduces invasiveness compared to traditional methods.

Article Abstract

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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Source
http://dx.doi.org/10.1016/j.clineuro.2023.107920DOI Listing

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