A CASE OF BILATERAL 3-LEVEL LUMBAR SPONDYLOLYSIS DIRECT REPAIR BY HOOK-SCREW TECHNIQUE
G.SHARIFI, M.D; B.DANESHPAJOUH, M.D; K.HADDADIAN, M.D; O.REZAEE, M.D and M.SAMADIAN, M.D.
From Loghman Hakim Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran
We report a case of bilateral 3-level lumbar spondylolysis direct repair by use of hook-screw technique. The patient’s complaint was low back pain for 2 years that progressively worsened and exacerbated with standing and walking. He also mentioned bilateral sciatalgya, recently. The neurologic examination was normal. Interestingly, we found bilateral 3-level lumbar spine spondylolysis in L3, L4 and L5 levels in imaging studies. We proved that spondylolysis was the source of the patient’s low back pain by local anesthetic agent injection. We used a direct technique for correction of spondylolysis by use of a hook-screw device and lyses area decortications and iliac crest autograft bone.
We assessed the patient after surgery for evaluation of pain recovery and fusion rate. The results were favorable and supported the previous articles about usefulness of abovementioned surgical technique.
Keywords: spondylolysis; Hook-screw