V-Rod Technique for Direct Repair Surgery of Pediatric Lumbar Spondylolysis Combined with Posterior Apophyseal Ring Fracture.
- Author:
Takayuki SUMITA
1
;
Koichi SAIRYO
;
Isao SHIBUYA
;
Yoshihiro KITAHAMA
;
Yasuo KANAMORI
;
Hironori MATSUMOTO
;
Soichi KOGA
;
Yasuhiro KITAGAWA
;
Akira DEZAWA
Author Information
- Publication Type:Case Report
- Keywords: Spondylolysis; V-rod technique; Apophyseal ring fracture
- MeSH: Back Pain; Baseball; Decompression; Humans; Laminectomy; Leg; Physicians, Primary Care; Pseudarthrosis; Spondylolysis
- From:Asian Spine Journal 2013;7(2):115-118
- CountryRepublic of Korea
- Language:English
- 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.
