Pars Repair Surgery is a specialised spinal procedure aimed at treating defects or fractures in the pars interarticularis, a small segment of bone that connects the upper and lower joints of the vertebrae. This surgery is commonly recommended for patients with spondylolysis or chronic lower back pain that hasn’t improved with non-surgical treatments.
During the procedure, the damaged area is stabilized using screws, bone grafts, or fixation devices to promote healing and restore spinal function. The goal is to relieve pain, improve mobility, and prevent further spinal instability while preserving the natural movement of the spine.
- Persistent lower back pain, especially during activity
- Pain that worsens with bending backwards or twisting
- Limited mobility or stiffness in the lower back
- Symptoms that do not improve with rest, physical therapy, or medications
- X-rays, MRI, or CT scans confirming a pars defect or non-healing fracture
- Detailed imaging (CT or MRI) to confirm the defect and assess spinal health
- Physical examination and review of symptoms
- Discussion of your activity level, lifestyle, and goals for surgery
- Medication review, especially if taking anti-inflammatory drugs or blood thinners
- Fasting for 6–8 hours before surgery
- Discussion of surgical risks, recovery expectations, and post-operative care
- A small incision is made in the lower back to expose the affected vertebra
- The surgeon removes scar tissue and prepares the bone edges of the fracture site
- A bone graft (from the patient or donor) is placed in the gap
- The fracture is stabilised using screws, wires, or hooks to hold the bone in place while it heals.
- Infection
- Bleeding
- Nerve injury
- Failure of the bone graft to heal (nonunion)
- Hardware-related discomfort
- Persistent or recurrent back pain
- Need for revision surgery or spinal fusion
- Pain relief from stabilised vertebra
- Preservation of natural spinal motion, especially in young patients
- Avoidance of spinal fusion and long-term stiffness
- Improved function and return to sports or regular activity
- High success rate in appropriately selected patients
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Care national Hospital
Riyadh, Saudi Arabia
Apart from in-detail treatment procedures available, Care National Hospital located in Riyadh, Saudi Arabia has a wide variety of facilities available for International Patients. Some of the facilities which are provided by them are Accommodation, Airport Transfer, Choice of Meals. Also listed below are some of the most prominent infrastructural details:
- International patient care services of Care National Hospital is also at par with global standards. They provide all kinds of assistance to the patients coming from different nationalities to get required treatment.
- Innovative healthcare practices are employed in the hospital and the healthcare providers routinely go over and above to provide the best treatment that any patient could get.
- The hospital specialises in providing patients with customised healthcare options.
- A multispecialty hospital with integrated departments, it has a bed capacity of 459.
- Homecare services are also routinely provided to the patients of Care National Hospital, Riyadh, Saudi Arabia.
- Outpatient Clinics include the following:
- Department of Binoculars
- Emergency Department
- Radiology Department
- Laboratory
- Blood Bank
- Department of Physical Therapy
- Pharmacy
Hospital Ruber International
Madrid, Spain
The Hospital has a wide architectural structure that consists of-
- 90+ consultation rooms
- 108+ private rooms
- 15 suites and 3 royal suites
- 10+ operation theatres
- Neuro-Rehabilitation unit
- Popular Specialties- Epilepsy, Neuropsychology, Neuro-Ophthalmology, Neuro-Oncology, Clinical Neurology, Memory Disorders, Movement Disorders, Neuro-rehabilitation
Meliva Kardiolita Hospital, Vilnius
Vilnius, Lithuania
Kardiolita Hospital, Vilnius located in Vilnius, Lithuania is accredited by JCI. Also listed below are some of the most prominent infrastructural details:
- An outpatient department, 56-beds for inpatients
- 13 advanced operation theatres
- 24-hour intensive care unit
- Emergency Department
- Gynecology Center
- Vascular Center
- ENT Center
- Neurology Center
- General and Abdominal Surgery Center
- The staff also takes care of your air travel and pick & drop facility
Baskent University Istanbul Hospital
Istanbul, Turkey
Baskent University Istanbul Hospital located in Istanbul, Turkey is accredited by ISO. Also listed below are some of the most prominent infrastructural details:
- 13.000 square meters indoor area
- Aesthetically designed Inpatient rooms
- Latest healthcare equipments
- 105 bed capacity
- 5 operating rooms
- 38 bed capacity in the Intensive Care Unit
- 609 healthcare personnel and healthcare professors
- Translation services for International patients
The Madras Institute of Orthopedics and Traumatology
Chennai, India
MIOT started its journey with only 70 beds and focusing on Orthopedics and Trauma care. However, we grew into a multi-specialty hospital with time. MIOT is now a 1000-bedded hospital and can offer an extensive range of services across 63 specialties. The state of art laboratory of our hospital is ranked 8th internationally. We have 21 super-specialty operation theaters equipped with cutting-edge technology to help our doctors with complex procedures.
We take great care to make our patient rooms comfortable enough. The patient rooms get plenty of fresh air as well as natural light. The soothing views from the rooms do not let the patients feel cut off from the outside world. We use separate entrances for emergency patients, out-patients, in-patients, and their attendants. We put our patients’ safety first which is why we use a superior air system to ensure a near-zero infection healthy environment.
Apart from that, MIOT’s 24 hours blood bank provides all kinds of blood work related services which include blood collection to component separation. This state-of-art blood bank alone handles more than 30,000 units of blood over the course of a year. Every month around 600 blood transfusions are managed by this blood bank.
MIOT’s SIGNA Pioneer 3T MRI machine is made with noise reduction technology. This silent MRI machine can deliver superior quality neuroimages without wasting any time. The department of Radiology and Imaging Sciences can give tough competition to any international hospital with its advanced technology and accuracy.
The PET CT service at MIOT International is the first of its kind in South India enabling better and more accurate diagnosis than earlier. The superior diagnosis is also possible for the two digital cath labs at MIOT Heart Revive center.
We also have a physiotherapy team where a team of highly efficient physiotherapists deals with the mobility and functional disability issues of our patients. They listen to the patients carefully to identify the root of the pain and use therapeutic exercises to reduce their pain.
The CCU of MIOT is something to be proud of. The specially-trained staff of this unit is dedicated to ensuring top-quality medical support to serious patients. This unit along with the MIOT International Laboratory is the backbone of our facility.
Furthermore, what makes MIOT unique is our Telemedicine service. In the new normal, we are trying everything to reach our patients. Our one of its kind Telemedicine service connects our patients to our 250 full-time doctors over email, phone, chat and video consultations.
Circle Reading Hospital
Reading, United Kingdom
Circle Reading Hospital is a multispecialty hospital located in Reading, Berkshire. The infrastructure of the hospital is such that the patient is exposed to the luxurious and friendly environment and not something that seems daunting to them. The hospital offers a wide range of diagnostic and treatment services circle Reading Hospital is a multispecialty hospital located in Reading, Berkshire. The infrastructure of the hospital is such that the patient is exposed to the luxurious and friendly environment and not something that seems daunting to them. The hospital offers a wide range of diagnostic and treatment services to its patients, allowing them to choose the services that they wish to avail themselves in a hassle-free manner.
Keeping the quality in mind that the patient demands, the hospital has associated itself with some of the best consultants from Berkshire. The presence of some of the most experienced specialists from varied backgrounds, allows the hospital to have an environment that ensures the best possible clinical care for the patients.
The hospital offers treatment across 15+ specialties and some of the most popular treatments are offered for hip, knee, back, foot & ankle, gastroenterology, gynecology, shoulder & elbow, and gastroenterology.
Circle Reading Hospital offers a very warm and comfortable environment to the patients, from the moment they enter the building, whether for consultation or inpatient stay.
- Patient-friendly inpatient rooms
- 15+ Specialties
- Especially known for orthopedics and spine surgery
- Innovative technology
Facilities Provided:
- Inpatient rooms with TV, music, and films
- Private bedrooms with en-suite walk-in shower room
- Complimentary Wi-Fi
- Free on-site parking
- On-site cafe
Shirley Oaks Hospital
London, United Kingdom
Shirley Oaks Hospital is a multispeciality hospital established in 1986 and is part of Circle Health Group. The hospital is located on the outskirts of Croydon in Shirley Oaks Village. The hospital offers a wide range of diagnostic and treatment services to patients allowing them to choose the services that they wish to avail in a hassle-free manner.
The hospital is a multispecialty facility that offers all types of treatments from 15+ specialties, including general medicine, ophthalmology, gastroenterology, and dermatology. Shirley Oaks Hospital is associated with 80+ consultants from within the UK.
The hospital offers services and treatments to patients under the age of 18 years and above.
Shirley Oaks Hospital offers a very warm and comfortable environment to the patients, from the moment they enter the building, whether for consultation or inpatient stay.
- Patient-friendly inpatient rooms
- 15+ Specialties
- Especially known for orthopedics and spine surgery
- Innovative technology
Facilities Provided:
- Inpatient rooms with TV, music, and films
- Private bedrooms with en-suite walk-in shower room
- Complimentary Wi-Fi
- Free on-site parking
St Edmunds Hospital
Bury Saint Edmunds, United Kingdom
St Edmund Hospital has 26 beds with all rooms offering the privacy and comfort of en-suite facilities, views of the gardens, TV, and high-speed Wi-Fi. The hospital has three functional Operation Theatre for minor or major surgeries
The hospital has an imaging department and physiotherapy team based at the hospital to ensure the best care before and after treatment. The Hospital has a dedicated day case recovery area where patients can relax after day case procedure until discharged from the hospital.
Room service is provided to all inpatients by our catering team. All dietary needs can be catered for at the hospital.
The hospital has car parking spaces around the grounds, with a drop-off bay and disabled spaces directly opposite the entrance to the main hospital entrance.
The hospital has all the needed facilities, the latest in technology, and on-site support services; The hospital offers a wide range of procedures from routine investigations to complex surgery.
St Edmunds Hospital has more than 50 consultants who are experts and are s supported by caring and professional staff, dedicated nursing teams, and Resident Medical Officers on duty 24 hours a day, providing care within a friendly and comfortable environment.
Sanar International Hospital
Gurugram, India
Sanar International Hospital is a multispeciality hospital based on Golf Course Road in Gurugram, a part of Delhi NCR. It was founded in 2018 and houses one of the most comprehensive and advanced surgical care specialties. This 150-bedded facility is committed to providing the best patient experiences and healthcare services is the core of the hospital’s mission. Staffed by a group of visionary and competent medical professionals who are well-versed in their fields and eminent for their empathy and understanding, Sanar International Hospital provides optimal care to its patients, making it a popular
Specialties in the Hospital such as Heart, Bone, and Joint neurosciences, Cancer, Kidney and Liver Transplant, and other successful procedures along with experienced medical professionals have made a mark for themselves among domestic patients and international patients who come to India to have the finest healthcare services. It follows strict international practices and believes that the centricity of the patient is essential for providing high-quality care through world-class infrastructure and state-of-the-art facilities. The technologies offered by the Hospital include Digital X-rays, MRI, CT, Ultrasound, transfusion medicine, pharmacy, laboratory services, 24 hrs emergency and ambulance services.
It offers more than 20 plus specialties such as General Medicine, Anesthesiology, Cardiac Sciences, Ophthalmology, Gastroenterology, Hematology, Orthopedics, General Surgery & Surgical, Cardiothoracic Surgery, Hepato Biliary Surgery, Pediatrics, Liver Transplantation, and Critical Care Medicine. The Hospital has a highly skilled medical staff of neuro-anesthetists, neurologists, specialized neurocritical care experts, neurosurgeons neuropsychologists, and neuropsychiatrists. There are specific centers for the treatment of epilepsy, stroke, brain tumors, movement disorders, spinal problems, and headaches.
Manipal Hospital, Ghaziabad
Ghaziabad, India
Founded in 2010, Manipal Hospital-Ghaziabad (formerly Columbia Asia Hospital) is a well-known multispecialty hospital accredited by the National Accreditation Board for Hospitals and Healthcare Providers (NABH). With 100 beds, the hospital is committed to providing effective and reasonably priced healthcare in a clean and safe setting. The hospital has several departments that are known for their expertise, including Orthopaedics, Internal Medicine, Gastroenterology, Plastic Surgery, Obstetrics and Gynecology, ENT, and more. Due to this recognition, the hospital is now regarded as one of the best medical establishments in the Ghaziabad area.
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+99Process Involved for Pars Repair surgery
- Diagnosis: A detailed physical examination, along with imaging tests such as X-rays, MRIs, or CT scans, is performed to confirm a pars defect.
- Preoperative Preparation: This includes blood tests, anaesthesia clearance, medication review, and patient counselling regarding the surgery and recovery.
- Surgical Procedure: The surgeon repairs the fractured pars interarticularis using screws, bone grafts, or fixation devices under general anaesthesia.
- Post-operative Care: The patient is monitored for pain, wound healing, and neurological function, and is advised on limited movement and incision care.
- Rehabilitation: Includes physiotherapy and strengthening exercises to restore mobility, reduce stiffness, and support long-term spinal stability.
- Follow-up and Recovery Monitoring: Regular follow-up visits with imaging (X-ray/CT) to assess healing, ensure bone fusion, and prevent complications.
- Spondylolysis: A stress fracture in the pars interarticularis that causes localised lower back pain, especially in young athletes.
- Lumbar spine stress fractures: Tiny cracks in the lower back bones due to repetitive stress or overuse, often requiring surgical repair when conservative treatments fail.
- Pars interarticularis defect: A break or defect in the bony bridge between vertebrae, which can lead to spinal instability and pain.
- Chronic lower back pain due to a pars defect: Persistent back pain linked to an undiagnosed or unhealed defect in the pars region.
- Instability of the vertebral arch: When the spinal bones fail to stay properly aligned due to a weakened or broken pars, causing pain and reduced mobility.
- Non-healing stress fractures in young athletes: Stress fractures that don’t heal with rest or bracing and require surgical intervention to restore spine stability.
- Progressive spinal slippage (early-stage spondylolisthesis): A condition where one vertebra starts to slide forward due to a pars defect, needing surgical repair before it worsens.
- Recurrent back pain not responding to conservative treatment: Ongoing lower back pain that doesn’t improve with physiotherapy, medication, or bracing, often linked to an underlying pars defect.
- Patient Evaluation: A thorough clinical assessment and imaging (X-ray, MRI, or CT scan) are conducted to confirm the presence and severity of the pars defect.
- Anaesthesia Administration: The patient is given general anaesthesia to ensure they are wholly unconscious and pain-free during the procedure.
- Surgical Incision: A small incision is made in the lower back to access the affected vertebra and the fractured pars interarticularis.
- Exposure of the Defect: The surrounding muscles and soft tissues are carefully retracted to fully reveal the pars defect, while ensuring that nearby nerves remain undisturbed.
- Defect Preparation: The site is cleaned, and any scar tissue or damaged bone is removed to prepare for repair.
- Bone Grafting (if needed): A bone graft, either from the patient (autograft) or donor (allograft), is placed in the defect to support healing.
- Fixation: Specialized screws or wires (e.g., Buck’s screw or Scott wiring technique) are used to stabilize the pars and hold the bone in place.
- Closure: The incision is carefully sutured layer by layer, and a sterile dressing is applied to the wound.
- Recovery and Monitoring: The patient is taken to a recovery room for observation and initial pain management before starting the rehabilitation process.
- Laminectomy / Laminotomy
- Foraminotomy
- Discectomy
- Bracing
- Endoscopy
- Improves spinal stability
- Reduces lower back pain
- Restores normal movement and flexibility
- Enhances physical activity and mobility
- Promotes natural bone healing
- Helps maintain proper posture and alignment
- Strengthens surrounding muscles and ligaments
- Speeds up return to daily activities
- Prevents progression of spinal damage
- Improves overall quality of life
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