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Posted in: Spondylolisthesis, and Surgery.

ParsFracture Unilateral Direct repair

Started by 102061216807376... on 07/22/2015 12:39pm

I've been diagnosed with a herniated disc and a pars fracture on the right. My neuro surgeon recommended a fusion, and that I stop most of my activities, like running, cycling, etc. He called it "lifestyle modification" which to me has been very difficult and distressing.
I have read that several people have had a direct repair of a pars fracture and have done wel with it, but so far every surgeon I contact in this area apparently does not do this technique.
Can some one message me, or directly tell me who has done their Direct repair and where they are located. I am willing to travel, but there is no point in traveling for an evaluation if the surgeon doe not perform the procedure.
Thanks!

I did have the disc herniation removed, since I had actual nerve damage and my foot would not work, but no fusion yet.

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My son had Pars Defect repair surgery 2 years ago and we searched for a great surgeon who has repeatedly done this surgery in Atlanta Ga. That took us 2-3 years while he was in terrible pain. His name is Dr. Rodts and his partner, Dr Refai , is also very good and has experience. Both are neuro surgeons at Emory Hospital who specialize in Spine. There is also a surgeon at HSS in New York that has done this surgery repeatedly but I cannot remember his name. The surgery is the way to go unless you have other complications. My son was grade zero and it was a complete success. I have referred others as well. If you want to talk let me know and we can sync up. My son and I want to pay it forward since most Dr's haven't operated via direct repair and he has his life back. Hope this helps....let me know if you need anything else. jack123

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Jack 123, I'm curious as to why you opted to have just a pars fracture repair rather than the traditional fusion surgery?

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If the Direct repair of the pars defect is done you don't have the issues caused above and below the fusion. It does not limit your motion and is absolutely a better way to go. You just need to find a surgeon that has performed the Direct Repair surgery. Many great surgeons have not and that is what you want. I have 2 surgeons in Atlanta that have a lot experience. They are in demand but worth the wait. The HSS hospital in NY also has surgeons that have experience. I would like to help you any way I can. Let me know if you want to talk live or how I can help....I spent years looking for the right surgeon. The difference was amazing right after surgery and the full recovery is probably 9-12 months for the bones to be completely overgrown from the bone growth material that is used these days. It saved our family because of the pain the pars defect was causing. Fusion is mostly offered by docs that have not done the direct repair. Unless there is some extenuating circumstances, like the spine slipping out of alignment, avoid the fusion and go with the direct repair.

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Dear jack123,

My teenage son has also been dealing with this for the past three years. I'm desperately trying to find a surgeon that is experienced with doing direct pars repairs. You mentioned that you knew of a dr over at HSS,. Is there any way you can find out the name? Please help me if you can.

Thank you!

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Jack123...Ps. My son has bilateral L5 fractures. Was your son's fractures at L5 and which method did his surgeon use? Screw (bucks) or screw hook (morcher)?

Thanks again

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Does anyone know the name of the doctor at HSS or at Mayo that has experience performing a Direct Pars Repair? Please list it here or email me. I am desperate to find someone asap. I have a bilateral pars fracture and am tired of the pain.

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Jack123, the direct pars repair sounds promising. I've had a pars defect for 15 years and have been putting off a fusion. . I would like to hear more about the success of the direct pars repair. Can I email you to have further discussion? If so, how do I get in touch?

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