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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Meliva Kardiolita Hospital, Kaunas
Kaunas, Lithuania
Apart from in-detail treatment procedures available, Kardiolita Hospital, Kaunas located in Kaunas, Lithuania 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:
- 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
- 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
Sagrat Cor University Hospital
Barcelona, Spain
The Hospital is an amalgamation of a group of buildings located in the Eixample Left of Barcelona, ??between Paris, Viladomat, and London streets. It has a capacity of 350 adjustable beds and first-class hotel-like services inpatient rooms. Currently, it has a workforce of about 1100 Healthcare Professionals.
In order to treat patients with intensive care, the Hospital has 10 beds in its ICU for critically ill patients.
The Hospital has launched a few more things to improve customers’ services- 4 new Operating Rooms and a New Diagnostic Imaging Service.
Other Services
- Surgical Block with 13 major surgery operating rooms, 5 operating rooms for Minor Surgeries, 1 for Dermatology Service
- The Non-Admitted Surgery Unit (UCSI) Major Outpatient Surgery (CMA) has a total of 14 units to care for major surgery patients who do not require admission to hospitalization
- Rehabilitation Center with treatment boxes and group therapy room, Gym, Medical visit offices, priests rooms, waiting rooms, and others
- 7 Examination Cabinets
- The pediatric patients waiting room
- Emergency Center-12 emergency boxes, 1 double resuscitation box, and 7 rapid visit offices
Types of Room
Double Rooms, Double Rooms for Individual Use, and Single Rooms; equipped with an easy-to-use electrical movement control system and a nursing call/warning system, located at the head of the bed, a sofa-bed for the companion, and a bathroom with a shower. They are also equipped with television and telephone.
A cafeteria/Restaurant is also available for the patients or visitors.
Bishops Wood Hospital
Northwood, United Kingdom
Bishops Wood Hospital is a 42 bedded acute care unit located in Middlesex, UK. Offering treatment and diagnostic services for more than 25 specialties, the hospital was established to offer the highest standard of care and services to patients from across the world. The hospital is a part of the private Circle Healthcare Group, which is a leading provider of state-of-the-art healthcare services and has multiple hospitals and clinics across the world.
The hospital has over 120 specialists and surgeons working with them to provide a variety of surgical and non-surgical treatments to people. The hospital is particularly known for a variety of orthopedic procedures that are carried out, including knee and hip surgery, hand and wrist surgery, foot and ankle surgery, and shoulder and elbow surgery. The hospital has been instrumental in slowly expanding its medical service and now offers treatments to patients requiring primary, secondary as well as tertiary care.
The hospital boasts of its team of medical and nursing staff, which is available 24 hours a day. Every medical specialist is a part of a multidisciplinary team, which includes specialists from the in-house radiology and physiotherapy department.
- More than 20 specialties
- Especially known for orthopedic surgeries and radiology
- Patient-friendly and comfortable environment
- Offers full privacy to patients
Facilities Provided:
- Personalized Meals and Diet Support
- Full en-suite facilities with bath or shower
- Immediate access to nursing support
- Car parking
- Satellite television, radio, and direct dial telephone inside the room
The Alexandra Hospital
Cheadle, United Kingdom
The Alexandra Hospital has access to modern equipment and private facilities for patients in Manchester, Stockport, and Cheshire. The hospital offers Outpatient Services to children from 0-18 years and day-case inpatient procedures for 3-18 years.
Established in 1981, the hospital is a 128-bedded facility offering treatments in more than 20+ specialties. The hospital has a friendly and caring staff. Equipped with world-class technology, the hospital is known for safe and effective outcomes across a wide range of treatments-from complex cases to minor surgery.
The Alexandra Hospital has dedicated radio imaging and biochemistry departments offering a wide range of tests being performed like X-ray, Ultrasound, CT Scan, MRI, DEXA Scan, etc.
The hospital ensures patient safety and provides an ideal environment with trained and experienced staff and a resident team available for 24 hours.
The hospital has efficient patient care that works hard to make each patient's time as pleasant as possible.
Amrita Hospital
Faridabad, India
Founded in 1998 by Mata Amritanandamayi (Amma), the Amrita Institute of Medical Sciences and Research Centre is one of India’s leading healthcare institutions, accredited by ISO, NABH, and NABL. With 2 branches, 7 medical colleges, and a network of 800+ doctors and 2,600+ beds, it offers comprehensive care across 81 specialties and 12 super-specialty departments, supported by 60+ modern operating theatres and 534 critical care beds. The Faridabad campus, a world-class multispeciality facility, houses advanced centers for oncology, neurosciences, cardiac sciences, gastro-sciences, mother and child care, and trauma care, along with India’s most comprehensive infectious disease unit. Guided by a mission of compassion and innovation, Amrita Hospitals combine cutting-edge medicine with humanitarian service to empower communities and promote holistic well-being.
Rajagiri Hospital
Kochi, India
- Rajagiri Hospital, Kochi, Kerala, is a leading multi-speciality tertiary care hospital known for providing world-class medical services with advanced technology and compassionate care.
- Accredited by JCI, NABH, and NABL, the hospital offers comprehensive treatment across specialities like Cardiology, Oncology, Neurology, Gastroenterology, Orthopaedics, Nephrology, Urology, and Paediatrics, making it a trusted healthcare destination in South India.
Bukit Tinggi Medical Centre
Kuala Lumpur, Malaysia
As a tertiary care hospital, Bukit Tinggi Medical Centre (BTMC) is committed to providing high-quality, reasonably priced healthcare.
With a focus on patient care and a team of committed medical professionals and personnel, we want to realize our ambition of becoming Klang's go-to healthcare provider. Orthopedics, neurosurgery, cardiac surgery, obstetrics and gynecology, pediatrics and rehabilitation, aesthetic surgery, and other specialties are all part of our multidisciplinary team approach. Additionally, BTMC has a Health Screening Center that provides a range of health packages to meet the requirements of diverse patient types.
Catalunya General University Hospital
Barcelona, Spain
- A 328-bed capacity, offering comfortable rooms with modern facilities for patient recovery.
- Twenty-two intensive care beds are available for adults, children, and newborns needing close monitoring.
- Seventeen advanced surgical theatres are used for different operations, from general to highly specialised surgeries.
- Over 120 medical consultation rooms where patients receive personalised outpatient care.
- A full suite of diagnostic imaging tools, including MRI, CT, and ultrasound, for accurate medical evaluations.
- A round-the-clock emergency department equipped to handle urgent and critical health issues.
- Dedicated units for neurology and neurosurgery, treating conditions such as stroke, epilepsy, and nerve disorders.
- Neurological testing facilities, including EEG and EMG, are available for detailed assessments of the brain and nerves.
- A strong focus on rehabilitation, helping patients recover from surgeries, injuries, or neurological events.
- A maternity area designed for safe deliveries, with neonatal support for newborn care.
- A day hospital section allows patients to get procedures or therapies without an overnight stay.
- On-site services, including a pharmacy and laboratory, are available to streamline patient care and testing.
- Support for international patients, including multilingual staff and travel and care planning assistance.
- Additional conveniences include a cafeteria, family waiting areas, and ample parking spaces.
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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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