Pars Interarticularis Fractures Treated with Minimally Invasive Surgery: A Literature Review
Recurrent stress on the isthmic pars interarticularis often leads to profound injury and symptom burden. When conservative and medical management fail, there are various operative interventions that can be used. The current review details the common clinical presentation and treatment of pars injury...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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MDPI AG
2024-01-01
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| Series: | Journal of Clinical Medicine |
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| Online Access: | https://www.mdpi.com/2077-0383/13/2/581 |
| _version_ | 1797339694463188992 |
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| author | Adrienne Minor Benjamin R. Klein Mareshah N. Sowah Kayla Etienne Allan D. Levi |
| author_facet | Adrienne Minor Benjamin R. Klein Mareshah N. Sowah Kayla Etienne Allan D. Levi |
| author_sort | Adrienne Minor |
| collection | DOAJ |
| description | Recurrent stress on the isthmic pars interarticularis often leads to profound injury and symptom burden. When conservative and medical management fail, there are various operative interventions that can be used. The current review details the common clinical presentation and treatment of pars injury, with a special focus on the emerging minimally invasive procedures used in isthmic pars interarticularis repair. PubMed and Google Scholar database literature reviews were conducted. The keywords and phrases that were searched include but were not limited to; “history of spondylolysis”, “pars interarticularis”, “pars defect”, “conventional surgical repair of pars”, and “minimally invasive repair of pars”. The natural history, conventional presentation, etiology, risk factors, and management of pars interarticularis injury are discussed by the authors. The surgical interventions described include the Buck’s repair, Morscher Screw-Hook repair, Scott’s Wiring technique, and additional pedicle screw-based repairs. Minimally invasive techniques are also reviewed, including the Levi technique. Surgical intervention has been proven to be safe and effective in managing pars interarticularis fractures. However, minimally invasive techniques often provide additional benefit to patients such as reducing damage of surrounding structures, decreasing postoperative pain, and limiting the time away from sports and other activities. |
| first_indexed | 2024-03-08T09:51:03Z |
| format | Article |
| id | doaj.art-975acdb3f3434e0baea4d6a73f5f4a25 |
| institution | Directory Open Access Journal |
| issn | 2077-0383 |
| language | English |
| last_indexed | 2024-03-08T09:51:03Z |
| publishDate | 2024-01-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Clinical Medicine |
| spelling | doaj.art-975acdb3f3434e0baea4d6a73f5f4a252024-01-29T14:03:23ZengMDPI AGJournal of Clinical Medicine2077-03832024-01-0113258110.3390/jcm13020581Pars Interarticularis Fractures Treated with Minimally Invasive Surgery: A Literature ReviewAdrienne Minor0Benjamin R. Klein1Mareshah N. Sowah2Kayla Etienne3Allan D. Levi4School of Medicine Greenville, University of South Carolina, Greenville, SC 29605, USADepartment of Neurological Surgery, Miller School of Medicine, University of Miami, Miami, FL 33146, USASchool of Medicine Greenville, University of South Carolina, Greenville, SC 29605, USADepartment of Neurological Surgery, Miller School of Medicine, University of Miami, Miami, FL 33146, USADepartment of Neurological Surgery, Miller School of Medicine, University of Miami, Miami, FL 33146, USARecurrent stress on the isthmic pars interarticularis often leads to profound injury and symptom burden. When conservative and medical management fail, there are various operative interventions that can be used. The current review details the common clinical presentation and treatment of pars injury, with a special focus on the emerging minimally invasive procedures used in isthmic pars interarticularis repair. PubMed and Google Scholar database literature reviews were conducted. The keywords and phrases that were searched include but were not limited to; “history of spondylolysis”, “pars interarticularis”, “pars defect”, “conventional surgical repair of pars”, and “minimally invasive repair of pars”. The natural history, conventional presentation, etiology, risk factors, and management of pars interarticularis injury are discussed by the authors. The surgical interventions described include the Buck’s repair, Morscher Screw-Hook repair, Scott’s Wiring technique, and additional pedicle screw-based repairs. Minimally invasive techniques are also reviewed, including the Levi technique. Surgical intervention has been proven to be safe and effective in managing pars interarticularis fractures. However, minimally invasive techniques often provide additional benefit to patients such as reducing damage of surrounding structures, decreasing postoperative pain, and limiting the time away from sports and other activities.https://www.mdpi.com/2077-0383/13/2/581minimally invasivepars interarticularispercutaneous pedicle screws |
| spellingShingle | Adrienne Minor Benjamin R. Klein Mareshah N. Sowah Kayla Etienne Allan D. Levi Pars Interarticularis Fractures Treated with Minimally Invasive Surgery: A Literature Review Journal of Clinical Medicine minimally invasive pars interarticularis percutaneous pedicle screws |
| title | Pars Interarticularis Fractures Treated with Minimally Invasive Surgery: A Literature Review |
| title_full | Pars Interarticularis Fractures Treated with Minimally Invasive Surgery: A Literature Review |
| title_fullStr | Pars Interarticularis Fractures Treated with Minimally Invasive Surgery: A Literature Review |
| title_full_unstemmed | Pars Interarticularis Fractures Treated with Minimally Invasive Surgery: A Literature Review |
| title_short | Pars Interarticularis Fractures Treated with Minimally Invasive Surgery: A Literature Review |
| title_sort | pars interarticularis fractures treated with minimally invasive surgery a literature review |
| topic | minimally invasive pars interarticularis percutaneous pedicle screws |
| url | https://www.mdpi.com/2077-0383/13/2/581 |
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