Direct repair of pars fracture

///Direct repair of pars fracture
Direct repair of pars fracture
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  • Dardan R.
    Participant
    Post count: 1

    Hello Dr. Corenman,

    I am a 26 year old male who has been dealing with grade 1-2 spondylolisthesis of the L5 vertebra for over 4 years. My condition seems to be getting worse over the past two years. I have done a lot of research into spinal fusion and came across your article on direct repair of the pars fracture. I wanted to know if you could recommend a fellow doctor in the NYC area who also has experience with the procedure. I have done a lot of research and cant seem to come up with anything.

    Thank you,

    Donald Corenman, MD, DC
    Moderator
    Post count: 6574

    Pars repairs have specific indications. There can be no slip of the vertebra, no significant degeneration of the disc and non-atrophic pars (“not thinned out”). You already have a slip of at least 25% of the vertebra so you would not be a candidate for a pars repair. You would need to consider a fusion of this level. Look at TLIF here: https://neckandback.com/treatments/transforaminal-lumbar-interbody-fusion-tlif/

    Dr. Corenman

    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.
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