{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,30]],"date-time":"2026-10-30T03:55:55Z","timestamp":1793332555892,"version":"4.5.0"},"reference-count":72,"publisher":"Elsevier BV","issue":"8","license":[{"start":{"date-parts":[[2021,8,1]],"date-time":"2021-08-01T00:00:00Z","timestamp":1627776000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2021,8,1]],"date-time":"2021-08-01T00:00:00Z","timestamp":1627776000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2021,8,1]],"date-time":"2021-08-01T00:00:00Z","timestamp":1627776000000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-017"},{"start":{"date-parts":[[2021,8,1]],"date-time":"2021-08-01T00:00:00Z","timestamp":1627776000000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-037"},{"start":{"date-parts":[[2021,8,1]],"date-time":"2021-08-01T00:00:00Z","timestamp":1627776000000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-012"},{"start":{"date-parts":[[2021,8,1]],"date-time":"2021-08-01T00:00:00Z","timestamp":1627776000000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-029"},{"start":{"date-parts":[[2021,8,1]],"date-time":"2021-08-01T00:00:00Z","timestamp":1627776000000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-004"}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","thespinejournalonline.com","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["The Spine Journal"],"published-print":{"date-parts":[[2021,8]]},"DOI":"10.1016\/j.spinee.2021.03.011","type":"journal-article","created":{"date-parts":[[2021,3,21]],"date-time":"2021-03-21T10:56:15Z","timestamp":1616324175000},"page":"1268-1285","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":23,"title":["Is there a place for surgical repair in adults with spondylolysis or grade-I spondylolisthesis\u2014a systematic review and treatment algorithm"],"prefix":"10.1016","volume":"21","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4538-5031","authenticated-orcid":false,"given":"Naresh","family":"Kumar","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sirisha","family":"Madhu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1932-5927","authenticated-orcid":false,"given":"Naveen","family":"Pandita","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Miguel R.D.","family":"Ramos","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Barry W.L.","family":"Tan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Keith G.","family":"Lopez","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sridharan","family":"Alathur Ramakrishnan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paul","family":"Jonathan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Colum P.","family":"Nolan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dinesh","family":"Shree Kumar","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"issue":"1","key":"10.1016\/j.spinee.2021.03.011_bib0001","doi-asserted-by":"crossref","first-page":"89","DOI":"10.1177\/2192568218823695","article-title":"The incidence of pars interarticularis defects in athletes","volume":"10","author":"Tawfik","year":"2020","journal-title":"Global Spine J"},{"issue":"21","key":"10.1016\/j.spinee.2021.03.011_bib0002","doi-asserted-by":"crossref","first-page":"2346","DOI":"10.1097\/BRS.0b013e3181b4abbe","article-title":"Incidence of lumbar spondylolysis in the general population in Japan based on multidetector computed tomography scans from two thousand subjects","volume":"34","author":"Sakai","year":"2009","journal-title":"Spine (Phila Pa 1976)"},{"issue":"6","key":"10.1016\/j.spinee.2021.03.011_bib0003","doi-asserted-by":"crossref","first-page":"821","DOI":"10.1007\/s00586-006-0250-5","article-title":"Lumbar spondylolysis: a life long dynamic condition? A cross sectional survey of 4.151 adults","volume":"16","author":"Sonne-Holm","year":"2007","journal-title":"Eur Spine J"},{"issue":"5","key":"10.1016\/j.spinee.2021.03.011_bib0004","doi-asserted-by":"crossref","first-page":"421","DOI":"10.1097\/JSM.0000000000000546","article-title":"Prevalence of spondylolysis in symptomatic adolescent athletes: an assessment of sport risk in nonelite athletes","volume":"29","author":"Selhorst","year":"2019","journal-title":"Clin J Sport Med"},{"issue":"1","key":"10.1016\/j.spinee.2021.03.011_bib0005","doi-asserted-by":"crossref","first-page":"E10","DOI":"10.3171\/2017.11.FOCUS17581","article-title":"A comparison of the techniques of direct pars interarticularis repairs for spondylolysis and low-grade spondylolisthesis: a meta-analysis","volume":"44","author":"Mohammed","year":"2018","journal-title":"Neurosurg Focus"},{"issue":"Suppl 1","key":"10.1016\/j.spinee.2021.03.011_bib0006","doi-asserted-by":"crossref","first-page":"S167","DOI":"10.1007\/s00590-014-1560-7","article-title":"Management of spondylolysis and low-grade spondylolisthesis in fine athletes. A comprehensive review","volume":"25","author":"Bouras","year":"2015","journal-title":"Eur J Orthop Surg Traumatol"},{"key":"10.1016\/j.spinee.2021.03.011_bib0007","doi-asserted-by":"crossref","first-page":"39","DOI":"10.1016\/j.jot.2016.11.001","article-title":"Lumbar degenerative spondylolisthesis epidemiology: a systematic review with a focus on gender-specific and age-specific prevalence","volume":"11","author":"Wang","year":"2017","journal-title":"J Orthop Translat"},{"issue":"1","key":"10.1016\/j.spinee.2021.03.011_bib0008","doi-asserted-by":"crossref","first-page":"36","DOI":"10.1016\/j.spinee.2004.05.249","article-title":"The long-term effect of posterolateral fusion in adult isthmic spondylolisthesis: a randomized controlled study","volume":"5","author":"Ekman","year":"2005","journal-title":"Spine J"},{"issue":"1","key":"10.1016\/j.spinee.2021.03.011_bib0009","doi-asserted-by":"crossref","first-page":"55","DOI":"10.1186\/s13018-018-0723-3","article-title":"Double-level lumbar spondylolysis and spondylolisthesis: a retrospective study","volume":"13","author":"Zhang","year":"2018","journal-title":"J Orthop Surg Res"},{"issue":"7","key":"10.1016\/j.spinee.2021.03.011_bib0010","doi-asserted-by":"crossref","first-page":"477","DOI":"10.1097\/BSD.0b013e31815b1abf","article-title":"Instrumented slip reduction and fusion for painful unstable isthmic spondylolisthesis in adults","volume":"21","author":"Floman","year":"2008","journal-title":"J Spinal Disord Tech"},{"issue":"3","key":"10.1016\/j.spinee.2021.03.011_bib0011","doi-asserted-by":"crossref","first-page":"501","DOI":"10.1016\/j.spinee.2018.08.008","article-title":"Long-term outcome after spinal fusion for isthmic spondylolisthesis in adults","volume":"19","author":"Endler","year":"2019","journal-title":"Spine J"},{"issue":"8","key":"10.1016\/j.spinee.2021.03.011_bib0012","doi-asserted-by":"crossref","first-page":"1175","DOI":"10.1007\/s00586-009-0947-3","article-title":"A prospective randomised study on the long-term effect of lumbar fusion on adjacent disc degeneration","volume":"18","author":"Ekman","year":"2009","journal-title":"Eur Spine J"},{"key":"10.1016\/j.spinee.2021.03.011_bib0013","series-title":"37th International Society for the Study of the Lumbar Spine (ISSLS) Annual Meeting","article-title":"Pars repair technique & rationale of treatment in adults: GP128","author":"Kumar","year":"2010"},{"key":"10.1016\/j.spinee.2021.03.011_bib0014","unstructured":"Joanna Briggs Institute. JBI Sumari. https:\/\/www.jbisumari.org\/; 2017 [accessed 06 October 2020]."},{"issue":"7","key":"10.1016\/j.spinee.2021.03.011_bib0015","doi-asserted-by":"crossref","first-page":"1428","DOI":"10.11124\/JBISRIR-2017-003890","article-title":"Effectiveness of vibratory stimulation on needle-related procedural pain in children: a systematic review","volume":"17","author":"Ueki","year":"2019","journal-title":"JBI Database Syst Rev Implement Rep"},{"issue":"1","key":"10.1016\/j.spinee.2021.03.011_bib0016","doi-asserted-by":"crossref","first-page":"30","DOI":"10.11124\/JBISRIR-D-19-00191","article-title":"Impact of mobile health interventions during the perinatal period on maternal psychosocial outcomes: a systematic review","volume":"18","author":"Dol","year":"2020","journal-title":"JBI Evid Synth"},{"issue":"1","key":"10.1016\/j.spinee.2021.03.011_bib0017","doi-asserted-by":"crossref","first-page":"92","DOI":"10.1093\/geront\/42.1.92","article-title":"A comparison of young, middle-aged, and older adult treatment-seeking pathological gamblers","volume":"42","author":"Petry","year":"2002","journal-title":"Gerontologist"},{"issue":"1","key":"10.1016\/j.spinee.2021.03.011_bib0018","doi-asserted-by":"crossref","first-page":"45","DOI":"10.1186\/s12891-020-3057-3","article-title":"MRI-detected spinal disc degenerative changes in athletes participating in the Rio de Janeiro 2016 Summer Olympics games","volume":"21","author":"Abdalkader","year":"2020","journal-title":"BMC Musculoskelet Disord"},{"key":"10.1016\/j.spinee.2021.03.011_bib0019","series-title":"Spondylolisthesis: Diagnosis, non-surgical management, and surgical techniques","first-page":"95","article-title":"Classification of spondylolisthesis","author":"Kim","year":"2015"},{"key":"10.1016\/j.spinee.2021.03.011_bib0020","first-page":"371","article-title":"Spondylolisthesis","volume":"54","author":"Meyerding","year":"1932","journal-title":"Surg Gynecol Obstet"},{"issue":"4","key":"10.1016\/j.spinee.2021.03.011_bib0021","doi-asserted-by":"crossref","first-page":"E234","DOI":"10.1097\/BRS.0000000000000714","article-title":"Direct repair surgery with screw fixation for young patients with lumbar spondylolysis: patient-reported outcomes and fusion rate in a prospective interventional study","volume":"40","author":"Lee","year":"2015","journal-title":"Spine (Phila Pa 1976)"},{"issue":"3","key":"10.1016\/j.spinee.2021.03.011_bib0022","doi-asserted-by":"crossref","first-page":"432","DOI":"10.1302\/0301-620X.52B3.432","article-title":"Direct repair of the defect in spondylolisthesis. Preliminary report","volume":"52","author":"Buck","year":"1970","journal-title":"J Bone Joint Surg Br"},{"issue":"5","key":"10.1016\/j.spinee.2021.03.011_bib0023","doi-asserted-by":"crossref","first-page":"399","DOI":"10.1097\/01.bsd.0000211253.67576.90","article-title":"Direct repair of multiple levels lumbar spondylolysis by pedicle screw laminar hook and bone grafting: clinical, CT, and MRI-assessed study","volume":"20","author":"Chung","year":"2007","journal-title":"J Spinal Disord Tech"},{"issue":"1","key":"10.1016\/j.spinee.2021.03.011_bib0024","doi-asserted-by":"crossref","first-page":"121","DOI":"10.1007\/s00264-006-0277-6","article-title":"Repair of spondylolytic defect with a cable screw reconstruction","volume":"32","author":"Pai","year":"2008","journal-title":"Int Orthop"},{"issue":"4","key":"10.1016\/j.spinee.2021.03.011_bib0025","doi-asserted-by":"crossref","first-page":"e18944","DOI":"10.1097\/MD.0000000000018944","article-title":"Robot-assisted direct repair of spondylolysis: a case report","volume":"99","author":"Tian","year":"2020","journal-title":"Medicine (Baltimore)"},{"issue":"1-2","key":"10.1016\/j.spinee.2021.03.011_bib0026","doi-asserted-by":"crossref","first-page":"202","DOI":"10.2152\/jmi.67.202","article-title":"Consecutive double-level lumbar spondylolysis successfully treated with the double \u201csmiley face\u201d rod method","volume":"67","author":"Takeuchi","year":"2020","journal-title":"J Med Invest"},{"key":"10.1016\/j.spinee.2021.03.011_bib0027","doi-asserted-by":"crossref","first-page":"75","DOI":"10.1016\/j.wneu.2019.08.112","article-title":"Three-dimensional planning and patient-specific drill guides for repair of spondylolysis\/L5 pars defect","volume":"132","author":"Mobbs","year":"2019","journal-title":"World Neurosurg"},{"key":"10.1016\/j.spinee.2021.03.011_bib0028","doi-asserted-by":"crossref","first-page":"181","DOI":"10.1016\/j.wneu.2019.03.026","article-title":"Success and failure of percutaneous minimally invasive direct pars repair: analysis of fracture morphology","volume":"126","author":"Fayed","year":"2019","journal-title":"World Neurosurg"},{"issue":"3","key":"10.1016\/j.spinee.2021.03.011_bib0029","doi-asserted-by":"crossref","first-page":"122","DOI":"10.1016\/j.neucir.2017.07.008","article-title":"Headless compression screw in the neuronavigation-guided and microscope-assisted treatment of spondylolysis","volume":"29","author":"Goncalves-Ramirez","year":"2018","journal-title":"Neurocirugia (Astur)"},{"issue":"5","key":"10.1016\/j.spinee.2021.03.011_bib0030","first-page":"2272","article-title":"Direct repair of defects in lumbar spondylolysis by using a combination of computer-assisted minimally invasive spine surgery and the buck technique","volume":"28","author":"Tian","year":"2017","journal-title":"Biomed Res"},{"issue":"11","key":"10.1016\/j.spinee.2021.03.011_bib0031","doi-asserted-by":"crossref","first-page":"E691","DOI":"10.1097\/BRS.0000000000001929","article-title":"Percutaneous direct repair of a pars defect using intraoperative computed tomography scan","volume":"42","author":"Nourbakhsh","year":"2017","journal-title":"Spine"},{"issue":"2","key":"10.1016\/j.spinee.2021.03.011_bib0032","doi-asserted-by":"crossref","first-page":"E6","DOI":"10.3171\/2017.5.FOCUS17153","article-title":"Minimally invasive direct pars repair with cannulated screws and recombinant human bone morphogenetic protein: case series and review of the literature","volume":"43","author":"Ghobrial","year":"2017","journal-title":"Neurosurg Focus"},{"issue":"19B","key":"10.1016\/j.spinee.2021.03.011_bib0033","doi-asserted-by":"crossref","first-page":"B6","DOI":"10.1097\/BRS.0000000000001815","article-title":"Direct repair of lumbar pars interarticularis defects by utilizing intraoperative O-arm-based navigation and microendoscopic techniques","volume":"41","author":"Jia","year":"2016","journal-title":"Spine"},{"issue":"27","key":"10.1016\/j.spinee.2021.03.011_bib0034","doi-asserted-by":"crossref","first-page":"e1127","DOI":"10.1097\/MD.0000000000001127","article-title":"Surgical management of 3-level lumbar spondylolyses","volume":"94","author":"Peng","year":"2015","journal-title":"Medicine (Baltimore)"},{"issue":"10","key":"10.1016\/j.spinee.2021.03.011_bib0035","doi-asserted-by":"crossref","first-page":"2172","DOI":"10.1016\/j.spinee.2015.06.006","article-title":"Comparison of lumbar discectomy alone and lumbar discectomy with direct repair of pars defect for patients with disc herniation and spondylolysis at the nearby lumbar segment","volume":"15","author":"Lee","year":"2015","journal-title":"Spine J"},{"issue":"7","key":"10.1016\/j.spinee.2021.03.011_bib0036","doi-asserted-by":"crossref","first-page":"1545","DOI":"10.1016\/j.spinee.2015.02.019","article-title":"Comparison of surgical treatment with direct repair versus conservative treatment in young patients with spondylolysis: a prospective, comparative, clinical trial","volume":"15","author":"Lee","year":"2015","journal-title":"Spine J"},{"issue":"12","key":"10.1016\/j.spinee.2021.03.011_bib0037","doi-asserted-by":"crossref","first-page":"E734","DOI":"10.1097\/BRS.0000000000000324","article-title":"Rationale in the management of 4-level lumbar spondylolyses with or without instability and\/or spondylolisthesis","volume":"39","author":"Vidyadhara","year":"2014","journal-title":"Spine (Phila Pa 1976)"},{"issue":"1","key":"10.1016\/j.spinee.2021.03.011_bib0038","doi-asserted-by":"crossref","first-page":"104","DOI":"10.1097\/BRS.0000000000000043","article-title":"Clinical results and functional outcomes after direct intralaminar screw repair of spondylolysis","volume":"39","author":"Menga","year":"2014","journal-title":"Spine"},{"key":"10.1016\/j.spinee.2021.03.011_bib0039","doi-asserted-by":"crossref","DOI":"10.1155\/2013\/659078","article-title":"Minimally invasive direct repair of bilateral lumbar spine pars defects in athletes","volume":"2013","author":"Widi","year":"2013","journal-title":"Case Rep Med"},{"issue":"8","key":"10.1016\/j.spinee.2021.03.011_bib0040","doi-asserted-by":"crossref","first-page":"422","DOI":"10.1097\/BSD.0b013e318236ba6c","article-title":"Acute lumbar spondylolysis in intercollegiate athletes","volume":"25","author":"Sutton","year":"2012","journal-title":"J Spinal Disord Tech"},{"issue":"1","key":"10.1016\/j.spinee.2021.03.011_bib0041","doi-asserted-by":"crossref","first-page":"14","DOI":"10.3340\/jkns.2012.51.1.14","article-title":"Direct pars repair surgery using two different surgical methods: pedicle screw with universal hook system and direct pars screw fixation in symptomatic lumbar spondylosis patients","volume":"51","author":"Shin","year":"2012","journal-title":"J Korean Neurosurg Soc"},{"issue":"1","key":"10.1016\/j.spinee.2021.03.011_bib0042","doi-asserted-by":"crossref","first-page":"51","DOI":"10.1055\/s-0032-1307255","article-title":"Bilateral three-level lumbar spondylolysis repaired by hook-screw technique","volume":"2","author":"Sharifi","year":"2012","journal-title":"Global Spine J"},{"key":"10.1016\/j.spinee.2021.03.011_bib0043","doi-asserted-by":"crossref","first-page":"396","DOI":"10.1186\/1752-1947-6-396","article-title":"Minimal access direct spondylolysis repair using a pedicle screw-rod system: a case series","volume":"6","author":"Mohi Eldin","year":"2012","journal-title":"J Med Case Rep"},{"issue":"5","key":"10.1016\/j.spinee.2021.03.011_bib0044","doi-asserted-by":"crossref","first-page":"492","DOI":"10.3171\/2009.2.SPINE08594","article-title":"Minimally invasive technique for direct repair of pars interarticularis defects in adults using a percutaneous pedicle screw and hook-rod system","volume":"10","author":"Sairyo","year":"2009","journal-title":"J Neurosurg Spine"},{"issue":"10","key":"10.1016\/j.spinee.2021.03.011_bib0045","doi-asserted-by":"crossref","first-page":"1177","DOI":"10.1007\/s00402-007-0521-6","article-title":"Segmental wire fixation for lumbar spondylolysis associated with spina bifida occulta","volume":"128","author":"Yamamoto","year":"2008","journal-title":"Arch Orthopaedic Trauma Surg"},{"issue":"7","key":"10.1016\/j.spinee.2021.03.011_bib0046","doi-asserted-by":"crossref","first-page":"521","DOI":"10.1097\/BSD.0b013e3180335c1f","article-title":"Clinical outcome after segmental wire fixation and bone grafting for repair of the defects in multiple level lumbar spondylolysis","volume":"20","author":"Ogawa","year":"2007","journal-title":"J Spinal Disord Tech"},{"issue":"3","key":"10.1016\/j.spinee.2021.03.011_bib0047","doi-asserted-by":"crossref","first-page":"182","DOI":"10.1055\/s-2007-982511","article-title":"Minimally invasive technique for direct repair of the pars defects in young adults using a spinal endoscope: a technical note","volume":"50","author":"Higashino","year":"2007","journal-title":"Minimally Invasive Neurosurg"},{"issue":"Suppl","key":"10.1016\/j.spinee.2021.03.011_bib0048","doi-asserted-by":"crossref","first-page":"S82","DOI":"10.1097\/01.bsd.0000123425.12852.3c","article-title":"Direct repair of spondylolysis using a new pedicle screw hook fixation: clinical and CT-assessed study: an analysis of 19 patients","volume":"18","author":"Roca","year":"2005","journal-title":"J Spinal Disord Tech"},{"issue":"3","key":"10.1016\/j.spinee.2021.03.011_bib0049","doi-asserted-by":"crossref","first-page":"180","DOI":"10.1007\/s00264-003-0530-1","article-title":"Selective instrumentation, reduction and repair in low-grade isthmic spondylolisithesis","volume":"28","author":"Morelos","year":"2004","journal-title":"Int Orthop"},{"issue":"3","key":"10.1016\/j.spinee.2021.03.011_bib0050","doi-asserted-by":"crossref","first-page":"359","DOI":"10.1177\/03635465030310030601","article-title":"Repair of pars interarticularis defect by segmental wire fixation in young athletes with spondylolysis","volume":"31","author":"Nozawa","year":"2003","journal-title":"Am J Sports Med"},{"issue":"2","key":"10.1016\/j.spinee.2021.03.011_bib0051","doi-asserted-by":"crossref","first-page":"142","DOI":"10.1016\/S1529-9430(02)00179-1","article-title":"Direct repair of spondylolytic defects in young competitive athletes","volume":"2","author":"Reitman","year":"2002","journal-title":"Spine J"},{"issue":"7","key":"10.1016\/j.spinee.2021.03.011_bib0052","first-page":"497","article-title":"Management of multiple level spondylolysis of the lumbar spine in young males: a report of six cases","volume":"100","author":"Chang","year":"2001","journal-title":"J Formos Med Assoc"},{"issue":"1","key":"10.1016\/j.spinee.2021.03.011_bib0053","doi-asserted-by":"crossref","first-page":"10","DOI":"10.1097\/00002517-199902000-00002","article-title":"Operative repair of symptomatic spondylolysis following a positive response to diagnostic pars injection","volume":"12","author":"Wu","year":"1999","journal-title":"J Spinal Disord"},{"issue":"12","key":"10.1016\/j.spinee.2021.03.011_bib0054","doi-asserted-by":"crossref","first-page":"1252","DOI":"10.1097\/00007632-199906150-00014","article-title":"Direct repair of spondylolysis without spondylolisthesis, using a rod- screw construct and bone grafting of the pars defect","volume":"24","author":"Gillet","year":"1999","journal-title":"Spine"},{"issue":"2","key":"10.1016\/j.spinee.2021.03.011_bib0055","doi-asserted-by":"crossref","first-page":"263","DOI":"10.1097\/00007632-199801150-00023","article-title":"Repair of the pars interarticularis defect with a cable-screw construct: a preliminary report","volume":"23","author":"Songer","year":"1998","journal-title":"Spine"},{"issue":"6","key":"10.1016\/j.spinee.2021.03.011_bib0056","doi-asserted-by":"crossref","first-page":"818","DOI":"10.2106\/00004623-199706000-00003","article-title":"Repair of the defect in spondylolysis. Durable fixation with pedicle screws and laminar hooks","volume":"79","author":"Kakiuchi","year":"1997","journal-title":"J Bone Jt Surg Ser A"},{"issue":"17","key":"10.1016\/j.spinee.2021.03.011_bib0057","doi-asserted-by":"crossref","first-page":"2041","DOI":"10.1097\/00007632-199609010-00023","article-title":"Repair of defects in spondylolysis by segmental pedicular screw hook fixation: a preliminary report","volume":"21","author":"Tokuhashi","year":"1996","journal-title":"Spine"},{"issue":"1","key":"10.1016\/j.spinee.2021.03.011_bib0058","doi-asserted-by":"crossref","first-page":"91","DOI":"10.3109\/17453679408993726","article-title":"Direct repair of lumbar spondylolysis: 10-year follow-up of 12 previously reported cases","volume":"65","author":"Tonino","year":"1994","journal-title":"Acta Orthop"},{"issue":"17","key":"10.1016\/j.spinee.2021.03.011_bib0059","doi-asserted-by":"crossref","first-page":"1909","DOI":"10.1097\/00007632-199409000-00008","article-title":"A comparative analysis of spondylolysis repair","volume":"19","author":"Dreyzin","year":"1994","journal-title":"Spine (Phila Pa 1976)"},{"issue":"4","key":"10.1016\/j.spinee.2021.03.011_bib0060","doi-asserted-by":"crossref","first-page":"440","DOI":"10.1097\/00007632-199303010-00006","article-title":"Modified repair of a defect in spondylolysis or minimal spondylolisthesis by pedicle screw, segmental wire fixation, and bone grafting","volume":"18","author":"Salib","year":"1993","journal-title":"Spine (Phila Pa 1976)"},{"issue":"3","key":"10.1016\/j.spinee.2021.03.011_bib0061","doi-asserted-by":"crossref","first-page":"379","DOI":"10.1227\/00006123-199203000-00011","article-title":"Translamino-pedicular screw fixation with bone grafting for symptomatic isthmic lumbar spondylolysis","volume":"30","author":"Ohmori","year":"1992","journal-title":"Neurosurgery"},{"issue":"1","key":"10.1016\/j.spinee.2021.03.011_bib0062","doi-asserted-by":"crossref","first-page":"81","DOI":"10.1007\/BF00182992","article-title":"Repair of lumbar spondylolysis with a hook-screw","volume":"16","author":"Hefti","year":"1992","journal-title":"Int Orthop"},{"issue":"8","key":"10.1016\/j.spinee.2021.03.011_bib0063","first-page":"445","article-title":"Repair of pars interarticularis defect: the prognostic value of pars infiltration","volume":"16","author":"Suh","year":"1991","journal-title":"Spine"},{"issue":"246","key":"10.1016\/j.spinee.2021.03.011_bib0064","doi-asserted-by":"crossref","first-page":"86","DOI":"10.1097\/00003086-198909000-00013","article-title":"Direct repair of spondylolysis","volume":"246","author":"Roca","year":"1989","journal-title":"Clin Orthop Relat Res"},{"issue":"10","key":"10.1016\/j.spinee.2021.03.011_bib0065","doi-asserted-by":"crossref","first-page":"1027","DOI":"10.1097\/00007632-198612000-00011","article-title":"Lytic spondylolysis: repair by wiring","volume":"11","author":"Nicol","year":"1986","journal-title":"Spine"},{"issue":"5","key":"10.1016\/j.spinee.2021.03.011_bib0066","doi-asserted-by":"crossref","first-page":"378","DOI":"10.3109\/17453678508994351","article-title":"Direct repair of lumbar spondylolysis","volume":"56","author":"van der Werf","year":"1985","journal-title":"Acta Orthop"},{"issue":"7","key":"10.1016\/j.spinee.2021.03.011_bib0067","first-page":"713","article-title":"Spondylolisthesis (two cases)","volume":"64","author":"Buck","year":"1971","journal-title":"Proc R Soc Med"},{"issue":"10","key":"10.1016\/j.spinee.2021.03.011_bib0068","doi-asserted-by":"crossref","first-page":"1650","DOI":"10.1007\/s00586-007-0392-0","article-title":"Direct repair of defects in lumbar spondylolysis with a new pedicle screw hook fixation: clinical, functional and Ct-assessed study","volume":"16","author":"Debusscher","year":"2007","journal-title":"Eur Spine J"},{"issue":"9","key":"10.1016\/j.spinee.2021.03.011_bib0069","doi-asserted-by":"crossref","first-page":"802","DOI":"10.1097\/BRS.0b013e318232303a","article-title":"Repair of pars defects by segmental transverse wiring for athletes with symptomatic spondylolysis: relationship between bony union and postoperative symptoms","volume":"37","author":"Hioki","year":"2012","journal-title":"Spine"},{"key":"10.1016\/j.spinee.2021.03.011_bib0070","doi-asserted-by":"crossref","first-page":"29","DOI":"10.1016\/j.clineuro.2015.08.024","article-title":"A minimally invasive approach to defects of the pars interarticularis: restoring function in competitive athletes","volume":"139","author":"Gillis","year":"2015","journal-title":"Clin Neurol Neurosurg"},{"issue":"10","key":"10.1016\/j.spinee.2021.03.011_bib0071","doi-asserted-by":"crossref","first-page":"1276","DOI":"10.1016\/j.spinee.2016.06.009","article-title":"Irrigation endoscopic assisted percutaneous pars repair: technical note","volume":"16","author":"Soliman","year":"2016","journal-title":"Spine J"},{"issue":"1","key":"10.1016\/j.spinee.2021.03.011_bib0072","doi-asserted-by":"crossref","first-page":"340","DOI":"10.1186\/s12891-020-03365-4","article-title":"Percutaneous endoscopic-assisted direct repair of pars defect without general anesthesia could be a satisfying treatment alternative for young patient with symptomatic lumbar spondylolysis: a technique note with case series","volume":"21","author":"Jin","year":"2020","journal-title":"BMC Musculoskeletal Disord"}],"container-title":["The Spine Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1529943021001224?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1529943021001224?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,10,26]],"date-time":"2025-10-26T21:34:58Z","timestamp":1761514498000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S1529943021001224"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,8]]},"references-count":72,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2021,8]]}},"alternative-id":["S1529943021001224"],"URL":"https:\/\/doi.org\/10.1016\/j.spinee.2021.03.011","relation":{},"ISSN":["1529-9430"],"issn-type":[{"value":"1529-9430","type":"print"}],"subject":[],"published":{"date-parts":[[2021,8]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Is there a place for surgical repair in adults with spondylolysis or grade-I spondylolisthesis\u2014a systematic review and treatment algorithm","name":"articletitle","label":"Article Title"},{"value":"The Spine Journal","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.spinee.2021.03.011","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2021 Elsevier Inc. All rights reserved.","name":"copyright","label":"Copyright"}]}}