Outcomes of Direct Lumbar Spondylolysis Reconstruction by Bone Graft and Fixation Using Pedicular Screw Rod Laminar Hook Construct

Background Data: Lumbar spondylolysis is often managed by conservative methods in most patients. Operative interference is indicated in symptomatic patients not responding to medical treatment or patients with multilevel pars defect. Purpose: To evaluate the clinical, functional, and radiological r...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Khaled Omran, MD., Mohamed A Ahmed, MD.
Formato:	article
Lenguaje:	EN
Publicado:	Egyptian Spine Association 2019
Materias:	lumbar spondylolysis pedicular screw laminar hook rod construct pars defect Neurology. Diseases of the nervous system RC346-429
Acceso en línea:	https://doaj.org/article/3dba9c27c0a24700887142b87888d3d0
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:3dba9c27c0a24700887142b87888d3d0
record_format	dspace
spelling	oai:doaj.org-article:3dba9c27c0a24700887142b87888d3d02021-12-02T08:43:46ZOutcomes of Direct Lumbar Spondylolysis Reconstruction by Bone Graft and Fixation Using Pedicular Screw Rod Laminar Hook Construct10.21608/esj.2020.19243.11142314-89502314-8969https://doaj.org/article/3dba9c27c0a24700887142b87888d3d02019-10-01T00:00:00Zhttps://www.esj.journals.ekb.eg/article_80121_c74882b0b6ef35967b840d66329a0537.pdfhttps://doaj.org/toc/2314-8950https://doaj.org/toc/2314-8969Background Data: Lumbar spondylolysis is often managed by conservative methods in most patients. Operative interference is indicated in symptomatic patients not responding to medical treatment or patients with multilevel pars defect. Purpose: To evaluate the clinical, functional, and radiological results of bone graft and pedicular screw fixation and rod laminar hook construct in treatment of lumbar spondylolysis. Study Design: A prospective clinical case cohort study. Patients and Methods: Between October 2017 and January 2019, fifteen patients with symptomatic lumbar spondylolysis not responding to conservative treatment for more than 6 months were treated by reconstruction of pars defect by bone block autografting and fixation using pedicular screw laminar hook construct. The mean follow-up was 9.47±3.07 months. All patients were examined pre- and postoperatively and they were followed up clinically; for measuring their pain scale, Visual Analogue Scale (VAS); functionally, Oswestry Disability Index (ODI); radiologically (pars defect healing). Perioperative outcomes and complications were documented. Results: Clinical, radiological, and functional outcomes were significantly improved. Bony union was evident in all patients (100%). Blood loss, operative time, and hospital stay were reported. Two cases reported complications in this study: misplaced pedicular screw and superficial wound infection. Conclusion: Direct reconstruction of pars defect by bone graft and fixation using pedicular screw rod laminar hook construct is an effective feasible procedure in treating lumbar spondylosis. It preserves lumbar motion and hence may decrease adjacent segment problems. (2019ESJ194) Khaled Omran, MD.Mohamed A Ahmed, MD.Egyptian Spine Associationarticlelumbar spondylolysispedicular screw laminar hook rod constructpars defectNeurology. Diseases of the nervous systemRC346-429ENEgyptian Spine Journal, Vol 32, Iss 1, Pp 54-63 (2019)
institution	DOAJ
collection	DOAJ
language	EN
topic	lumbar spondylolysis pedicular screw laminar hook rod construct pars defect Neurology. Diseases of the nervous system RC346-429
spellingShingle	lumbar spondylolysis pedicular screw laminar hook rod construct pars defect Neurology. Diseases of the nervous system RC346-429 Khaled Omran, MD. Mohamed A Ahmed, MD. Outcomes of Direct Lumbar Spondylolysis Reconstruction by Bone Graft and Fixation Using Pedicular Screw Rod Laminar Hook Construct
description	Background Data: Lumbar spondylolysis is often managed by conservative methods in most patients. Operative interference is indicated in symptomatic patients not responding to medical treatment or patients with multilevel pars defect. Purpose: To evaluate the clinical, functional, and radiological results of bone graft and pedicular screw fixation and rod laminar hook construct in treatment of lumbar spondylolysis. Study Design: A prospective clinical case cohort study. Patients and Methods: Between October 2017 and January 2019, fifteen patients with symptomatic lumbar spondylolysis not responding to conservative treatment for more than 6 months were treated by reconstruction of pars defect by bone block autografting and fixation using pedicular screw laminar hook construct. The mean follow-up was 9.47±3.07 months. All patients were examined pre- and postoperatively and they were followed up clinically; for measuring their pain scale, Visual Analogue Scale (VAS); functionally, Oswestry Disability Index (ODI); radiologically (pars defect healing). Perioperative outcomes and complications were documented. Results: Clinical, radiological, and functional outcomes were significantly improved. Bony union was evident in all patients (100%). Blood loss, operative time, and hospital stay were reported. Two cases reported complications in this study: misplaced pedicular screw and superficial wound infection. Conclusion: Direct reconstruction of pars defect by bone graft and fixation using pedicular screw rod laminar hook construct is an effective feasible procedure in treating lumbar spondylosis. It preserves lumbar motion and hence may decrease adjacent segment problems. (2019ESJ194)
format	article
author	Khaled Omran, MD. Mohamed A Ahmed, MD.
author_facet	Khaled Omran, MD. Mohamed A Ahmed, MD.
author_sort	Khaled Omran, MD.
title	Outcomes of Direct Lumbar Spondylolysis Reconstruction by Bone Graft and Fixation Using Pedicular Screw Rod Laminar Hook Construct
title_short	Outcomes of Direct Lumbar Spondylolysis Reconstruction by Bone Graft and Fixation Using Pedicular Screw Rod Laminar Hook Construct
title_full	Outcomes of Direct Lumbar Spondylolysis Reconstruction by Bone Graft and Fixation Using Pedicular Screw Rod Laminar Hook Construct
title_fullStr	Outcomes of Direct Lumbar Spondylolysis Reconstruction by Bone Graft and Fixation Using Pedicular Screw Rod Laminar Hook Construct
title_full_unstemmed	Outcomes of Direct Lumbar Spondylolysis Reconstruction by Bone Graft and Fixation Using Pedicular Screw Rod Laminar Hook Construct
title_sort	outcomes of direct lumbar spondylolysis reconstruction by bone graft and fixation using pedicular screw rod laminar hook construct
publisher	Egyptian Spine Association
publishDate	2019
url	https://doaj.org/article/3dba9c27c0a24700887142b87888d3d0
work_keys_str_mv	AT khaledomranmd outcomesofdirectlumbarspondylolysisreconstructionbybonegraftandfixationusingpedicularscrewrodlaminarhookconstruct AT mohamedaahmedmd outcomesofdirectlumbarspondylolysisreconstructionbybonegraftandfixationusingpedicularscrewrodlaminarhookconstruct
_version_	1718398412108333056

Outcomes of Direct Lumbar Spondylolysis Reconstruction by Bone Graft and Fixation Using Pedicular Screw Rod Laminar Hook Construct

Ejemplares similares