Spondylolysis Repair Using a Minimally Invasive Modified Buck Technique with Neuronavigation and Neuromonitoring in High School and Professional Athletes: Technical Notes, Case Series, and Literature Review
Date
2021
Type:
Article
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Abstract
Background: Spondylolysis is a defect in the pars interarticularis of the vertebra that occurs frequently in high-performance young athletes. Although nonsurgical management is the mainstay of treatment, surgery is an option for patients with persistent symptoms despite multiple cycles of nonsurgical treatment. Performing a minimally invasive technique reduces complications, postsurgery pain, and hospitalization time and leads to a quick recovery. The aim of this study was to report the clinical results of a series of 3 patients treated with a modification of the Buck technique with a minimally invasive approach.
Methods: Three high-performance athletes between 17 and 18 years old who were managed nonsurgically for at least 6 months underwent a modified Buck technique repair with a minimally invasive approach using cannulated compression screws, with neuronavigation and neuromonitoring. Patients were followed at least 6 months with computed tomography scans to assess consolidation and fixation status. Following rehabilitation and in the absence of pain, all 3 athletes returned to their respective sports. No complications were reported.
Results: All patients presented with bilateral spondylolysis, at L3 in 1 case and at L5 in 2 cases. Patients received conservative management for 12-36 months before surgery. After surgery, consolidation was obtained at 4 months in all patients, who returned to their sports activities in <6 months.
Conclusions: The proposed technique shows the advantages of performing minimally invasive surgery in young high-performance athletes, ensuring consolidation and early return to sports activity without complications.
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Citation
Yurac R, Bravo JT, Silva Á, Marré B. Spondylolysis Repair Using a Minimally Invasive Modified Buck Technique with Neuronavigation and Neuromonitoring in High School and Professional Athletes: Technical Notes, Case Series, and Literature Review. World Neurosurg. 2021 Nov;155:54-63. doi: 10.1016/j.wneu.2021.07.134
Keywords
Spondylolysis, Athletic Injuries / surgery, Athletic Injuries / diagnostic imaging, Intraoperative Neurophysiological Monitoring / methods, Minimally Invasive Surgical Procedures / methods, Spondylolysis / diagnostic imaging, Neuronavigation / methods, Minimally Invasive Surgical Procedures / methods, Spondylolysis / diagnostic imaging, Spondylolysis / etiology, Spondylolysis / surgery