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

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....

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Bibliographic Details
Published in:World neurosurgery 2021-11, Vol.155, p.54-63
Main Authors: Yurac, Ratko, Bravo, José T., Silva, Álvaro, Marré, Bartolomé
Format: Article
Language:English
Subjects:
Adolescent
Athletes
Athletic Injuries - diagnostic imaging
Athletic Injuries - surgery
Buck technique
Humans
Intraoperative Neurophysiological Monitoring - methods
Lumbar Vertebrae - diagnostic imaging
Lumbar Vertebrae - surgery
Male
Minimally invasive approach
Minimally Invasive Surgical Procedures - methods
Neuromonitoring
Neuronavigation
Neuronavigation - methods
Schools
Spondylolysis
Spondylolysis - diagnostic imaging
Spondylolysis - etiology
Spondylolysis - surgery
Students
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Summary: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. 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. 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
ISSN:1878-8750
1878-8769
DOI:10.1016/j.wneu.2021.07.134