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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Memorial Ankara Hospital
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Memorial Ankara Hospital located in Ankara, Turkey is accredited by JCI. Also listed below are some of the most prominent infrastructural details:
- Covers an area of 42,000 sqm of closed area
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International St. Mary's Hospital
Seoul, South Korea
International St. Mary's Hospital located in Seoul, South Korea is accredited by JCI. Also listed below are some of the most prominent infrastructural details:
- 3 Basements and 5 Floors Building
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- Korean Traditional Medicine Hospital
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- Conference Rooms
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- Auditorium
- Intensive Care Units
- Hospice ward
- Chapel
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- Parking in basement
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Medipol Bahçelievler Hospital
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- High-end operation theatre
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The first green hospital in Turkey, Istanbul Florence Nightingale Hospital, was inaugurated in 2013. Group The Florence Nightingale hospitals are the first Turkish hospitals to be granted Joint Commission International (JCI) accreditation, and they continue to be associated and work with esteemed healthcare organizations.
The Florence Nightingale Group treats 250,000 outpatients and 70,000 inpatients annually, demonstrating its excellence. The hospitals have a capacity of 804 inpatient beds, 141 ICU beds, and 40 operating rooms, and perform 20,000+ procedures annually, of which 1,000 are cardiac operations for children and 2,000 are for adults. For conducting difficult orthopedic, general surgery, minimally invasive, and other heart treatments, the facility stands out. All operating rooms can be interconnected by audio-visual to a 300-person conference room and global hubs, enabling interactive medical teaching and scientific activity.
Interpreter and translator services for languages such as Turkish, Azerbaijani, Bulgarian, Arabic, English, Persian, Serbian, Russian, Albanian, Macedonian, German, Bosnian, and Romanian are available.
The hospital has specialized departments such as Cardiology and Cardiac Surgery, IVF and Infertility, Nephrology, Oncology and Oncosurgery, Spine Surgery, Neurology and Neurosurgery, Orthopedics, Gynecology, and Obesity or Bariatric Surgery. With an extensively qualified and experienced team of advisors and interpreters, Florence Nightingale Istanbul is committed to providing one-stop service from beginning to end, 24 hours a day, 7 days a week.
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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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