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Pars defect repair

From: RichardT - on 04/25/2013 3:06am

This website helped me to find a surgeon to do direct repair of pars defect. Search for the blog by Scott Hews on this website. I have just had a direct Buck repair of bilateral pars defect and grade 1 L5/S1 spondylolisthesis.
Some specialists don't believe that you can get pain from a cold pars defect but I had tremendous relief from direct pars injection even though the fractures looked cold on CT PECT with bone scan. The injection wore off after three months so I have now had the repair surgery. ( days post op I am walking up and down stairs. I will post more as I progress.

Do you find this discussion helpful?

6 Responses

on 11/06/2013 3:55pm

Hi Richard,

How did you get on? I have just been to see a surgeon (here in the UK, are you UK based?) about a direct repair. I have the exact same condition as you (bilateral pars defect and grade 1 spondylolisthesis). I have had it for nearly 10 years now (i am 29). It was missed, and i only received a diagnosis 18 months ago. The surgeon thinks i should have a direct repair as soon as possible (using screws but no bone graft).

How are you feeling a few months on? I hope it has helped you. It would be great to hear how it went, how old you are, the exact technique etc.

Many thanks!

on 03/21/2014 2:01am

I would also like to know how you are doing.

I have bilateral pars defect and grade 1 spondylothingy. Always in mild pain, gets worse with certain activities. How old are you and where did you have the surgery (geographic location).


on 01/19/2015 11:05am

Please reply and update as I'm currently seeking ideal surgical repair for my 17 year old son/athlete. Bilateral L5 pars fracture. Pain for 10+ months. Tried everything He is miserable and desiring surgical intervention at this point. I am an RN. I have been researching direct pars repair. Seeing a surgeon for evaluation and discussion in February. This will be first ever consult and I anticipate many more with various professionals before we proceed with surgical interventions. We would go almost anywhere in the universe for a specialist in the exact procedure my son needs.

on 01/21/2015 9:12am


How are you doing post repair and who is your surgeon? Thanks in advance for your reply.

on 02/04/2015 8:46am

Sorry for delay replying. In short I have had an excellent result for the surgery. I saw Prof John Dowell who is based at Springfield Hospital in Essex in the UK. He is one of the few UK surgeons to offer direct Buck repair. Post surgery I spent about a month mostly resting at home then gradually returned to driving and work at weeks 6 to 8. Stopped all analgesia within four weeks of surgery and haven't touched painkillers since. Back was a bit stiff and sore for a few months and needed hot baths at end of day but no meds. Able to cycle after 3 months and able to go skiing 9 months post op. Have returned to cycling up to one hour 2 x daily and feel fine but still avoid heavy lifting or twisting. I recommend direct Buck repair especially if young and/or wish to remain physically active.

on 02/05/2015 12:24am

Thank you, RichardT! So glad to hear you are doing better. We saw our first surgeon today. He wants us to try injections again and possibly radio frequency as more conservative approaches before we go ahead with surgery. My son is 17. He is very determined to return to a very athletically active lifestyle. We are on a quest to do the best thing for him and obtain the best possible outcome. Thank you so much for sharing the name of your doctor and the location as this helps immensely. Thank you again and I look forward to more updates as you progressively improve.