Direct Repair of Lumbar Spondylolysis Using Buck’s Technique
Author Information
Author(s): Rajasekaran S, Subbiah M, Shetty Ajoy Prasad
Primary Institution: Ganga Hospital, Coimbatore, Tamil Nadu, India
Hypothesis
The study aims to analyze the clinical and radiological results of direct screw osteosynthesis of the pars defect by the Buck’s method in patients with symptomatic spondylolysis.
Conclusion
Direct repair of the pars defect by Buck’s technique is a safe and effective alternative to fusion in younger patients with symptomatic spondylolysis who failed conservative management.
Supporting Evidence
- Radiological fusion was observed in all patients at a mean follow-up of 45 months.
- The overall result of the procedure was satisfactory in 78% of the patients.
- Two patients with associated grade 1 spondylolisthesis had fair and poor results.
Takeaway
Doctors can fix a back problem called spondylolysis without needing to fuse the bones together, which helps keep the back moving normally.
Methodology
Nine patients with symptomatic spondylolysis underwent surgery using Buck’s technique, with outcomes evaluated using MacNab criteria.
Limitations
The procedure should be limited to patients without associated spondylolisthesis for better outcomes.
Participant Demographics
Six males and three females, mean age 24 years.
Digital Object Identifier (DOI)
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