{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T18:50:55Z","timestamp":1792003855050,"version":"4.4.0"},"reference-count":17,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2013,3,28]],"date-time":"2013-03-28T00:00:00Z","timestamp":1364428800000},"content-version":"vor","delay-in-days":86,"URL":"http:\/\/creativecommons.org\/licenses\/by\/3.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Case Reports in Orthopedics"],"published-print":{"date-parts":[[2013,1]]},"abstract":"<jats:p>A 45\u2010year\u2010old man presented to our clinic requesting evaluation for surgical treatment of chronic low back pain of more than 20 years duration. He was diagnosed with 3\u2010level lumbar spondylolysis at L3\u20135. Direct repair using the pedicle screw and hook\u2010rod system was conducted for all three levels. After the surgery, his low back pain completely disappeared. Six months later, he felt discomfort and heard a metallic sound as he twisted his trunk. Computed tomography and radiography indicated that the hook head for L3 and the screw head for L4 were interfering with each other, causing the sound. We confirmed bony union at L3 and removed the L3 system. Surgeons should be aware of such complications if direct repair using a pedicle screw and hook\u2010rod system is conducted for multilevel spondylolysis.<\/jats:p>","DOI":"10.1155\/2013\/472968","type":"journal-article","created":{"date-parts":[[2013,3,28]],"date-time":"2013-03-28T17:03:50Z","timestamp":1364490230000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Multilevel Direct Repair Surgery for Three\u2010Level Lumbar Spondylolysis"],"prefix":"10.1155","volume":"2013","author":[{"given":"Tetsu","family":"Arai","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Koichi","family":"Sairyo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Isao","family":"Shibuya","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ko","family":"Kato","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Akira","family":"Dezawa","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2013,3,28]]},"reference":[{"key":"e_1_2_5_1_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546504269035"},{"key":"e_1_2_5_2_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.brs.0000195161.60549.67"},{"key":"e_1_2_5_3_2","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.91B2.21256"},{"key":"e_1_2_5_4_2","doi-asserted-by":"publisher","DOI":"10.1097\/BRS.0b013e3181b4abbe"},{"key":"e_1_2_5_5_2","doi-asserted-by":"publisher","DOI":"10.1097\/00007632-200305150-00014"},{"key":"e_1_2_5_6_2","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-198466050-00008"},{"key":"e_1_2_5_7_2","doi-asserted-by":"publisher","DOI":"10.1097\/BRS.0b013e31818edcfd"},{"key":"e_1_2_5_8_2","doi-asserted-by":"publisher","DOI":"10.1097\/00007632-198612000-00011"},{"key":"e_1_2_5_9_2","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.52B3.432"},{"key":"e_1_2_5_10_2","first-page":"818","article-title":"Repair of the defect in spondylolysis. 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