Cargando…

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...

Descripción completa

Detalles Bibliográficos
Autores principales: Arai, Tetsu, Sairyo, Koichi, Shibuya, Isao, Kato, Ko, Dezawa, Akira
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi Publishing Corporation 2013
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
_version_ 1782266099159531520
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
work_keys_str_mv AT araitetsu multileveldirectrepairsurgeryforthreelevellumbarspondylolysis
AT sairyokoichi multileveldirectrepairsurgeryforthreelevellumbarspondylolysis
AT shibuyaisao multileveldirectrepairsurgeryforthreelevellumbarspondylolysis
AT katoko multileveldirectrepairsurgeryforthreelevellumbarspondylolysis
AT dezawaakira multileveldirectrepairsurgeryforthreelevellumbarspondylolysis