Scoliosis Research Society (SRS)
An International Organization Dedicated to the Education, Research and Treatment of Spinal Deformity
Our Mission is to Foster Optimal Care for All Patients with Spinal Deformities
If the pain, spasm, or slippage increases despite conservative management, then the surgeon will discuss several potential surgical options.
1) Spinal fusion
For a majority of children and adults, fusing the 5th lumbar vertebra to the sacrum is the first choice. The fusion involves removing the loose bony fragments and placing bone graft that will lead to the successful "gluing together" of the two vertebra. Often a cage full of bone is placed in the disc space to increase the likelihood of fusion.
Depending on the degree of the slippage, the bones may be realigned to various degrees. The most important steps are restoring stability and making sure the nerves have no pressure on them.
2) Pars repair
At times the pars fracture can be repaired without fusing the bones together. This involves removing the sclerotic bone, and stabilizing the two sides of the fracture to restore normal anatomy.