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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.
Pars repair surgery is performed to treat a condition called spondylolysis, which is a stress fracture or defect in the pars interarticularis, a small segment of bone connecting the upper and lower facets of a vertebra. It is most common in adolescents and young adults, especially athletes involved in activities that involve repetitive spine extension (e.g., gymnastics, football). The goal of the surgery is to repair the fractured bone, restore spinal stability, relieve chronic lower back pain, and allow the patient to return to regular activity without limiting motion.
Consult a spine specialist if you experience:
- 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
Preparation for the pars repair surgery includes:
- 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
Pars repair surgery is typically performed under general anaesthesia. The steps include:
- 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.
Pars repair surgery typically takes between 1.5 and 3 hours, depending on the number of levels involved. Most patients stay in the hospital for 1 to 2 days, and in some cases, the procedure can be performed as a day surgery.
Potential risks include:
- 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
Patients are encouraged to walk as soon as possible after surgery. A back brace may be worn for a few weeks. Light activities can resume in 2–4 weeks, while a full return to sports or heavy lifting may take 3–6 months, depending on the rate of healing. Physical therapy supports core strength and flexibility. Follow-up X-rays or CT scans are used to assess bone healing and implant position.
Pars repair surgery has a high success rate, particularly in younger, active patients with isolated pars defects. Studies report 80–90% of patients achieving significant pain relief and return to normal function, especially when the bone heals fully and the spine remains stable.
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Kaplan Medical Centre
Rehovot, Israel
Kaplan Medical Centre located in Rehovot, Israel is accredited by JCI. Also listed below are some of the most prominent infrastructural details:
- Located in an area of 240 dunams of lawns, trees and lovely corners that provides the medical center pastoralism and tranquility, and soak up a relaxed atmosphere among our patients
- Hearing and Speech Institute
- Childrens Auditorium
- Hybrid Catheterization Room
- purchase of a new CT (256 slices)
- In the coming years, it is planned to develop: a rehabilitative geriatric medical center, a maternity club, an eye clinic and a heart center - the largest in the Middle East
- Blood Bank
- Pharmacy services
- Accommodation in Hospital Campus
- Maternity club
VPS Lakeshore Hospital
Kochi, India
VPS Lakeshore Hospital located in Kochi, India is accredited by NABH. Also listed below are some of the most prominent infrastructural details:
- Advanced hi-tech healthcare facility
- Innovative diagnostic & therapeutic medical technologies
- Diagnostic endoscopy of nose, esophagoscopy, Laryngoscopy, Bronchoscopy
- Cardiac department- Coronary Artery Bypass Grafting, Total Arterial Coronary Revascularization, Heart Valve Repairs and
- Replacements, Surgery for Heart Failure, Intracardiac Repair of Congenital Anomalies of the Heart, Surgery for Atrial Fibrillation
- Neurosurgery department: Keyhole Surgery for disc & other spine disorders, such as Spine Tumors, Navigation-guided, and Endoscopic Brain Tumor Surgery, Minimally invasive Brain Surgery, Advanced Head Injury Management with the ICP Monitoring
- State-of-the-art-hemodialysis Units
- Kidney Transplantation is done with Laparoscopic Donor Nephrectomy
- 24 hour rapid TAT team equipped with four specialists have increased survival and decreased patient morbidity
- Joint preservation techniques include autologous chondrocyte implantation
- Cutting edge operation theaters & world-class transplant ICUs
- Urology department: 3D Laparoscopy, Minimally Invasive Surgery, Ureteroscopy, RIRS, Endourology: PCNL
- Objective swallowing evaluation services such as functional endoscopic evaluation of Swallowing & Video Fluoroscopic Swallow
Acibadem Bakirkoy Hospital
Istanbul, Turkey
Acibadem Bakirkoy Hospital located in Istanbul, Turkey is accredited by JCI. Also listed below are some of the most prominent infrastructural details:
- This hospital has as many as 102 beds with intensive care beds (27), operating theatres (7).
- There is also one heliport in the hospital that is used for the purpose of emergency transfer within the hospital.
- The operating theatres as well as inpatient facilities have been upgraded vis. a vis. technology and infrastructure in the year 2008 and 2009 and both outpatient as well as inpatient were upgraded as recently as in the year 2017.
- A very well developed Neonatal Intensive care unit.
- Some popular specialties and departments of Acibadem Bakirkoy Hospital, Istanbul, Turkey are Cardiology, Dermatology, Endocrinology, Family medicine, Gastroenterology, Nephrology, Neurology and Oncology.
Acibadem Hospital Taksim
Istanbul, Turkey
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Acibadem Hospital Taksim located in Istanbul, Turkey is accredited by JCI. Also listed below are some of the most prominent infrastructural details:
- With 93 beds, 6 operating theatres, Acibadem Hospital, Taksim, Istanbul, Turkey is a well equipped healthcare facility.
- It has exceptional infrastructure which is at par with the best in the world.
- The ICU of this hospital comprises 10 beds, which is inclusive of isolation room beds (2).
- Also, when we talk of Neonatal ICU, it consists of 7 beds inclusive of an isolation room bed.
- Robot-assisted Surgery and Radiology departments are a sign of the technological advancement in the hospital.
- The Physical Medicine and Rehabilitation department ensures a seamless transition through the recovery period.
Acibadem Maslak Hospital
Istanbul, Turkey
Acibadem Maslak Hospital located in Istanbul, Turkey is accredited by JCI. Also listed below are some of the most prominent infrastructural details:
- Beds are 210 in number including 27 intensive care beds with 15 sterile operation rooms, and 9 advanced-level rooms
- Smart building technology of the hospital
- Number of doctors in this hospital are 170.
- Thyroid Clinic, Stroke Center, Obesity Clinic, Reproductive Health Center, and a fully equipped radiotherapy center are all the additional facilities present in the Acibadem Maslak Hospital, Istanbul, Turkey.
- There is also a seamlessly operating International Patient Center which enables functions like registrations, orientations, admissions, presenting medical information to International patients, appointments, visa, travel, transfer and accomodation arrangements.
- Translation and interpreter services are available as is multilingual staff.
- The hospital has moved with the times and all its systems are electronically upgraded.
Acibadem Fulya Hospital
Istanbul, Turkey
Acibadem Fulya Hospital located in Istanbul, Turkey is accredited by JCI. Also listed below are some of the most prominent infrastructural details:
- The hospital has cutting edge infrastructure and all latest amenities.
- Equipment like Whole body MR scanner, 4D Ultrasound system for Breast Cancer screening, 3D Imaging and Navigation System for Prostate Biopsy, Posturography (Balance) Device, and EBUS.
- Everything that makes healthcare delivery a 360* process is present in Acibadem Fulya Hospital, Istanbul, Turkey like diagnostic services, insurance, language interpretation services, travel and lodging arrangements.
- Clinic Laboratory, Dialysis, Gastrointestinal Endoscopy Laboratory, Pulmonary Function Laboratory, Radiology and Sleep Laboratory are also present.
- Intensive Care Units (ICU) are also available in the Acibadem Fulya Hospital, Istanbul, Turkey.
- There are many popular specialties and departments present in Acibadem Fulya Hospital, Istanbul, Turkey, which is a multidisciplinary healthcare organisation. Some are Cardiology, Neurology, Cardiology, Cardiovascular Surgery, Dermatology, Ear, Nose and Throat (Otolaryngology) etc.
Medical Park Gebze Hospital
Kocaeli, Turkey
Medical Park Gebze Hospital located in Kocaeli, Turkey is accredited by JCI. Also listed below are some of the most prominent infrastructural details:
- Established in an area of 17,000 sqm
- Capacity of 118 beds
- 49 Intensive Care Units
- Physical Therapy and Rehabilitation Department
- Microsurgery Department
- 24*7 Emergency Department
- Laboratory
- Angiography Unit
- Neonatal ICU (NICU)
- Coronary Intensive Care Unit
- General Intensive Care Unit (ICU)
Jimenez Diaz Foundation University Hospital
Madrid, Spain
With about 80,000 m 2 , it is equipped with the highest sanitary technology and offers a wide portfolio of services-
- Day hospital
- 11 central operating rooms
- 3 operating rooms for CMA
- 6 Delivery rooms
- 686 beds
- Ambulatory major surgery
- Emergencies
- Pediatric emergency
- ICU
- Neonatal ICU
- External Consultations
Quironsalud Marbella Hospital
Marbella, Spain
Apart from in-detail treatment procedures available, Quironsalud Marbella Hospital located in Marbella, Spain 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, Interpreter, SIM, TV inside room. Also listed below are some of the most prominent infrastructural details:
- The hospital is present in an area of 10.500 square meters.
- A 24- hour emergency service for all kinds of emergency scenarios, even pediatric.
- There is a specialised radiology department as well as a hemodialysis unit.
- The hospital also consists of an Intensive Care Unit with a laboratory.
- Also present are a functional test area with physiotherapy services in addition to functional recovery.
- Wide network of Insurance partners both national and international.
- A professionally managed international patient care center.
- There are more than 25 medical specialties
- The number of rooms are: 65 plus private rooms, over 14 consultation rooms.
- There are also more than 5 operation theatres with 2 endoscopy rooms
- Ultrasound, MRI, CAT scan are also present as per needs and requirements.
Manipal Hospital, Dwarka
Delhi, India
Manipal Hospital Dwarka is a leading multi-super speciality tertiary care hospital offering world-class, affordable, and accessible healthcare. Backed by renowned doctors, advanced technology, and global standards in clinical care, the hospital provides comprehensive preventive, diagnostic, and therapeutic services for all age groups. With 380 beds, 13 modular OTs, 118 critical care beds, and 24/7 emergency services, it combines excellence in patient care with innovations like AI, telemedicine, remote monitoring, and EMR—striving to become a fully digital, paperless hospital setting new standards in modern healthcare.
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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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