I am a football player in Houston, Texas with spondylolisthesis at the L4-L5. I have anterolisthesis at L4 and retrolisthesis at the L5 however my discs are in good shape. I think I am the perfect candidate for Direct Pars Repair but cannot find a doctor in Texas who does the surgery. Do you know anyone in the Texas, if possible HOUSTON, area who does this surgery? This surgery would be very important and would allow me to get back on the field. Thanks!
A pars fracture at L4-5 with an associated slip might prevent you from a successful repair of an isthmic spondylolisthesis. The slip distracts the pars fractures and make it more difficult to heal. Also, generally with a slip, there is some degeneration of the disc (although in younger patients, a small slip can be a “stretched” and not be due to a degenerative disc). It really depends upon reviewing the MRI and CT scans and looking at the flexion/extension X-rays along with your age.
I unfortunately don’t know of other individuals who use my technique to repair pars fractures.
PLEASE REMEMBER, THIS FORUM IS MEANT TO PROVIDE GENERAL INFORMATION ON SPINE ANATOMY, CONDITIONS AND TREATMENTS. TO GET AN ACCURATE DIAGNOSIS, YOU MUST VISIT A QUALIFIED PROFESSIONAL IN PERSON.
Donald Corenman, MD, DC is a highly-regarded spine surgeon, considered an expert in the area of neck and back pain. Trained as both a Medical Doctor and Doctor of Chiropractic, Dr. Corenman earned academic appointments as Clinical Assistant Professor and Assistant Professor of Orthopaedic Surgery at the University of Colorado Health Sciences Center, and his research on spine surgery and rehabilitation has resulted in the publication of multiple peer-reviewed articles and two books.