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Multilevel Direct Repair Surgery for Three-Level Lumbar Spondylolysis
A 45-year-old man presented to our clinic requesting evaluation for surgical treatment of chronic low back pain of more than 20 years duration. He was diagnosed with 3-level lumbar spondylolysis at L3–5. Direct repair using the pedicle screw and hook-rod system was conducted for all three levels. Af...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Hindawi Publishing Corporation
2013
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3625543/ https://www.ncbi.nlm.nih.gov/pubmed/23607020 http://dx.doi.org/10.1155/2013/472968 |
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author | Arai, Tetsu Sairyo, Koichi Shibuya, Isao Kato, Ko Dezawa, Akira |
author_facet | Arai, Tetsu Sairyo, Koichi Shibuya, Isao Kato, Ko Dezawa, Akira |
author_sort | Arai, Tetsu |
collection | PubMed |
description | A 45-year-old man presented to our clinic requesting evaluation for surgical treatment of chronic low back pain of more than 20 years duration. He was diagnosed with 3-level lumbar spondylolysis at L3–5. Direct repair using the pedicle screw and hook-rod system was conducted for all three levels. After the surgery, his low back pain completely disappeared. Six months later, he felt discomfort and heard a metallic sound as he twisted his trunk. Computed tomography and radiography indicated that the hook head for L3 and the screw head for L4 were interfering with each other, causing the sound. We confirmed bony union at L3 and removed the L3 system. Surgeons should be aware of such complications if direct repair using a pedicle screw and hook-rod system is conducted for multilevel spondylolysis. |
format | Online Article Text |
id | pubmed-3625543 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2013 |
publisher | Hindawi Publishing Corporation |
record_format | MEDLINE/PubMed |
spelling | pubmed-36255432013-04-19 Multilevel Direct Repair Surgery for Three-Level Lumbar Spondylolysis Arai, Tetsu Sairyo, Koichi Shibuya, Isao Kato, Ko Dezawa, Akira Case Rep Orthop Case Report A 45-year-old man presented to our clinic requesting evaluation for surgical treatment of chronic low back pain of more than 20 years duration. He was diagnosed with 3-level lumbar spondylolysis at L3–5. Direct repair using the pedicle screw and hook-rod system was conducted for all three levels. After the surgery, his low back pain completely disappeared. Six months later, he felt discomfort and heard a metallic sound as he twisted his trunk. Computed tomography and radiography indicated that the hook head for L3 and the screw head for L4 were interfering with each other, causing the sound. We confirmed bony union at L3 and removed the L3 system. Surgeons should be aware of such complications if direct repair using a pedicle screw and hook-rod system is conducted for multilevel spondylolysis. Hindawi Publishing Corporation 2013 2013-03-28 /pmc/articles/PMC3625543/ /pubmed/23607020 http://dx.doi.org/10.1155/2013/472968 Text en Copyright © 2013 Tetsu Arai et al. https://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case Report Arai, Tetsu Sairyo, Koichi Shibuya, Isao Kato, Ko Dezawa, Akira Multilevel Direct Repair Surgery for Three-Level Lumbar Spondylolysis |
title | Multilevel Direct Repair Surgery for Three-Level Lumbar Spondylolysis |
title_full | Multilevel Direct Repair Surgery for Three-Level Lumbar Spondylolysis |
title_fullStr | Multilevel Direct Repair Surgery for Three-Level Lumbar Spondylolysis |
title_full_unstemmed | Multilevel Direct Repair Surgery for Three-Level Lumbar Spondylolysis |
title_short | Multilevel Direct Repair Surgery for Three-Level Lumbar Spondylolysis |
title_sort | multilevel direct repair surgery for three-level lumbar spondylolysis |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3625543/ https://www.ncbi.nlm.nih.gov/pubmed/23607020 http://dx.doi.org/10.1155/2013/472968 |
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