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Biportal endoscopic bone graft repair and percutaneous screw fixation for lumbar spondylolysis—technical note and clinical outcomes

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Abstract

Background

Lumbar spondylolysis involves a bony defect in the vertebral pars interarticularis, predominantly affecting the lower lumbar spine. This condition is a significant etiological factor in lumbar instability and recurrent lower back pain, particularly in young individuals. While conservative treatments are the primary intervention, they often fail to provide relief, necessitating surgical approaches. Notwithstanding, executing bone grafting and fixation in the pars interarticularis defect simultaneously through minimally invasive surgery remains challenging.

Method

This study elucidates the biportal endoscopic spinal surgery (BESS) technique, innovatively applied for bone graft repair and percutaneous cannulated screw fixation in a patient with lumbar spondylolysis. We offer a detailed walkthrough of the technical procedures supplemented with follow-up radiographic evidence.

Results

The BESS technique facilitated meticulous clearance of the defect site, coupled with bone grafting and cannulated screw fixation, effectively addressing lumbar spondylolysis through a minimally invasive approach. This method holds promise for achieving substantial osseous fusion at the vertebral pars interarticularis defect site.

Conclusion

The BESS procedure for lumbar spondylolysis ensures a clean and prepared defect site for grafting and encourages successful osseous fusion, spotlighting its potential as a viable surgical strategy in managing this condition.

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References

  1. Aoki Y, Takahashi H, Nakajima A (2020) Prevalence of lumbar spondylolysis and spondylolisthesis in patients with degenerative spinal disease. Sci Rep 10(1):6739

    Article  ADS  CAS  PubMed  PubMed Central  Google Scholar 

  2. Grogan JP, Hemminghytt S, Williams AL (1982) Spondylolysis studied with computed tomography. Radiology 145(3):737–742

    Article  CAS  PubMed  Google Scholar 

  3. Jamshidi AM, Soldozy S, Levi AD (2023) Percutaneous direct pars repair in young athletes. Neurosurgery 92(2):263–270

    Article  PubMed  Google Scholar 

  4. Jin M, Zhang J, Shao H (2020) Percutaneous endoscopic-assisted direct repair of pars defect without general anesthesia could be a satisfying treatment alternative for young patient with symptomatic lumbar spondylolysis: a technique note with case series. BMC Musculoskelet Disord 21(1):340

    Article  PubMed  PubMed Central  Google Scholar 

  5. Leone A, Cianfoni A, Cerase A (2011) Lumbar spondylolysis: a review. Skeletal Radiol 40(6):683–700

    Article  PubMed  Google Scholar 

  6. Li DM, Li YC, Jiang W (2022) Application of a new anatomic hook-rod-pedicle screw system in young patients with lumbar spondylolysis: a pilot study. World J Clin Cases 10(17):5680–5689

    Article  PubMed  PubMed Central  Google Scholar 

  7. Linhares D, Rodrigues PC, Silva MR (2019) Minimum of 10-year follow-up of V-rod technique in lumbar spondylolysis. Eur Spine J 28(7):1743–1749

    Article  PubMed  Google Scholar 

  8. Muthiah N, Ozpinar A, Eubanks J (2022) Direct pars repair with cannulated screws in adults: a case series and systematic literature review. World Neurosurg 163:e263–e274

    Article  PubMed  Google Scholar 

  9. Rothman SL, Glenn WV (1984) CT multiplanar reconstruction in 253 cases of lumbar spondylolysis. AJNR Am J Neuroradiol 5(1):81–90

    CAS  PubMed  PubMed Central  Google Scholar 

  10. Tanveer F, Arslan SA, Darain H (2021) Prevailing treatment methods for lumbar spondylolysis: a systematic review. Medicine (Baltimore) 100(51):e28319

    Article  PubMed  Google Scholar 

  11. Tawfik S, Phan K, Mobbs RJ (2020) The incidence of pars interarticularis defects in athletes. Global Spine J 10(1):89–101

    Article  PubMed  Google Scholar 

Download references

Funding

This research received funding from the Capital Health Research and Development of Special, grant number SF No. 2022–2-6043.

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Authors and Affiliations

  1. Department of Orthopedics, Peking University Shougang Hospital, Shijingshan District, No. 9, Jinyuanzhuang Rd, Beijing, 100144, China

    Wenlong Wang, Zheng Liu, Pengfei Lyu, Shuo Zhang & Haibin Bai

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  1. Wenlong Wang
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  2. Zheng Liu
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  3. Pengfei Lyu
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  4. Shuo Zhang
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  5. Haibin Bai
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Corresponding author

Correspondence to Zheng Liu.

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Ethics approval and consent to participate

The study protocol adhered to the guidelines of the Declaration of Helsinki and secured approval from the Ethics Committee of Peking University Shougang Hospital, under the reference number 2021ZZCX07. All participants granted informed consent to be included in the study.

Conflict of interest

The authors declare no competing interests.

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Wang, W., Liu, Z., Lyu, P. et al. Biportal endoscopic bone graft repair and percutaneous screw fixation for lumbar spondylolysis—technical note and clinical outcomes. Acta Neurochir 166, 58 (2024). https://doi.org/10.1007/s00701-024-05944-z

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