كسر الإجهاد في الفقرة — البروتوكول الجراحي بعد فشل العلاج المحافظ

References

DOI: 10.1155/2020/9235958

• In the small percentage of young patients who fail conservative treatments, direct surgical repair of the spondylolysis has been shown to be highly effective.
• In 1968, Kimura described bone grafting without internal fixation for the treatment of spondylolytic defects.
• In the same time period, Scott detailed a wiring technique to augment the bone grafting of the lytic defect.
• In 1970, Buck described a technique of placing a lag screw across the lytic defect to internally reduce the fracture.
• Modern minimally invasive techniques for direct spondylolysis repair may have superior clinical outcomes over conventional open techniques and may be considered in cases where conservative management has failed.