V-Rod Technique for Direct Repair Surgery of Pediatric Lumbar Spondylolysis Combined with Posterior Apophyseal Ring Fracture
Asian Spine Journal
;
: 115-118, 2013.
Artículo
en Inglés
| WPRIM
| ID: wpr-21070
ABSTRACT
We report a pediatric baseball player having both a fracture of the posterior ring apophysis and spondylolysis. He was presented to a primary care physician complaining of back pain and leg pain. Despite conservative treatment for 3 months, the pain did not subside. He was referred to our clinic, and surgical intervention was carried out. First, a bony fragment of the caudal L5 apophyseal ring was removed following fenestration at the L5-S interlaminal space, bilaterally and decompression of the bilateral S1 nerve roots was confirmed. Next, pseudoarthrosis of the L5 pars was refreshed and pedicle screws were inserted bilaterally. A v-shaped rod was inserted beneath the L5 spinous process, which stabilized the pars defects. After the surgery, back pain and leg pain completely disappeared. In conclusion, the v-rod technique is appropriate for the spondylolysis direct repair surgery, especially, in case the loose lamina would have a partial laminotomy.
Texto completo:
Disponible
Índice:
WPRIM (Pacífico Occidental)
Asunto principal:
Seudoartrosis
/
Béisbol
/
Espondilólisis
/
Dolor de Espalda
/
Descompresión
/
Médicos de Atención Primaria
/
Laminectomía
/
Pierna
Límite:
Humanos
Idioma:
Inglés
Revista:
Asian Spine Journal
Año:
2013
Tipo del documento:
Artículo
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