Pediatric orthopaedic surgeon Paul Sponseller discusses his latest research on direct intralaminar screw repair of spondylolysis.
Watch the technique video: Surgical Treatment of Symptomatic Spondylolysis .
Read the papers:
Clinical Results and Functional Outcomes After Direct Intralaminar Screw Repair of Spondylolysis
Anatomic Parameters: Direct Intralaminar Screw Repair of Spondylolysis
This is a stress fracture or break of a lower lumbar vertebra. It is most common in active adolescents. I'll describe our research on this spanned analysis does not endanger the spinal nerves, but it can cause pain Most of the time. About 98% of the time. In fact, the pain will improve with conservative treatments. These include rest bracing, physical therapy, possible injections and then guided return to activity or sports. However, for those few patients who still have pain and cannot return to sports, there is an option to fix it. We've researched the anatomy of the area and released a video on our technique to fix it. This involves stabilizing with a screw and bone grafting the area to allow it to heal on its own. The school is placed like this and clamps the vertebrae together it restores it to its natural state. It's not a spine fusion. On the other hand, the procedure is not indicated if there is a significant gap or a slip forward of the vertebra. The hospital stay averages one day sports are allowed after a bony healing time of three months. The procedure does not reduce motion, rather it makes it more pain free and therefore enables more. We've published our results of the procedure available on the link And found that 90-95% of young people have pain relief and can return to sport often at a high level in high school or college
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