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Case Reports
Journal Article
Percutaneous Direct Repair of a Pars Defect Using Intraoperative Computed Tomography Scan: A Modification of the Buck Technique.
Spine 2017 June 2
STUDY DESIGN: Case report.
OBJECTIVE: To describe a young adult with a pars defect undergoing percutaneous direct fixation using intraoperative computed tomography (CT) scan.
SUMMARY OF BACKGROUND DATA: Direct pars repair has been utilized since the 1960s. There are no reports in the literature describing a percutaneous technique.
METHODS: Using a percutaneous technique under the guide of intraoperative CT scan, a cannulated partially threaded screw was inserted across the pars defect.
RESULTS: Surgery was completed without complication and the patient returned to preoperative activity level 3 months post-op. Postoperative CT scan showed a well-healed L4 pars defect.
CONCLUSION: Percutaneous direct pars repair using intraoperative CT scan offers the advantage of minimal soft tissue dissection, thereby reducing blood loss, infection risk, and recovery time.
LEVEL OF EVIDENCE: 5.
OBJECTIVE: To describe a young adult with a pars defect undergoing percutaneous direct fixation using intraoperative computed tomography (CT) scan.
SUMMARY OF BACKGROUND DATA: Direct pars repair has been utilized since the 1960s. There are no reports in the literature describing a percutaneous technique.
METHODS: Using a percutaneous technique under the guide of intraoperative CT scan, a cannulated partially threaded screw was inserted across the pars defect.
RESULTS: Surgery was completed without complication and the patient returned to preoperative activity level 3 months post-op. Postoperative CT scan showed a well-healed L4 pars defect.
CONCLUSION: Percutaneous direct pars repair using intraoperative CT scan offers the advantage of minimal soft tissue dissection, thereby reducing blood loss, infection risk, and recovery time.
LEVEL OF EVIDENCE: 5.
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