{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,13]],"date-time":"2026-09-13T09:05:16Z","timestamp":1789290316379,"version":"build-2803163510"},"reference-count":0,"publisher":"Indian Orthopaedic Research Group","issue":"9","content-domain":{"domain":["jocr.co.in"],"crossmark-restriction":true},"short-container-title":["Jocr"],"published-print":{"date-parts":[[2026]]},"abstract":"<jats:p>Introduction:\nPars repair can be a useful non-fusion technique to treat young patients presenting with symptomatic lumbar spondylolysis. We hereby describe an innovative technique (triple procedure) to effectuate healing of pars defect in a symptomatic 19-year-old.\n\nCase Report:\nA 19-year-old male patient presented with persistent mechanical low back pain, which was recalcitrant to conservative measures. We treated him surgically with the triple procedure involving bilateral intralaminar screws, autogenous iliac crest bone graft, and temporary intersegmental fixation with unilateral pedicle screw-rod construct. He recovered well symptomatology after the procedure, and the lytic pars defect healed satisfactorily (final follow-up at 2 years).\n\nConclusion:\nThe combination of bilateral intralaminar fixation, unilateral intersegmental pedicle screw fixation and bone graft application can offer excellent clinical benefit in relatively older patients with spina bifida occulta.\n\nKeywords:\nPars repair , buck repair , spondylolysis , triple procedure , spine surgery<\/jats:p>","DOI":"10.13107\/jocr.2026.v16.i09.8010","type":"journal-article","created":{"date-parts":[[2026,9,5]],"date-time":"2026-09-05T13:28:36Z","timestamp":1788614916000},"page":"131-138","update-policy":"https:\/\/doi.org\/10.13107\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Triple Procedure for Direct Pars Repair: An Innovative, Non-fusion Approach for Managing Spondylolysis in Late Adolescence or Early Adulthood"],"prefix":"10.13107","volume":"16","author":[{"given":"Vibhu Krishnan","family":"Viswanathan","sequence":"first","affiliation":[{"name":"1 Department of Orthopaedics, Devadoss Hospital, Madurai, Tamil Nadu, India 2 Department of Orthopaedics, Orthopaedic Research Group, Coimbatore, Tamil Nadu, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Malmarugan","family":"Ramachandran","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Devadoss Hospital, Madurai, Tamil Nadu, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sathish","family":"Muthu","sequence":"additional","affiliation":[{"name":"2 Department of Orthopaedics, Orthopaedic Research Group, Coimbatore, Tamil Nadu, India 3 Central Research Laboratory, Aarupadai Veedu Medical College and Hospital, Vinayaka Mission\u2019s Research Foundation (Deemed to be University), Puducherry, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S","family":"Gopalakannan","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Devadoss Hospital, Madurai, Tamil Nadu, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Annamalai","family":"Devadoss","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Devadoss Hospital, Madurai, Tamil Nadu, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sathish","family":"Devadoss","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Devadoss Hospital, Madurai, Tamil Nadu, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"5271","published-online":{"date-parts":[[2026]]},"container-title":["Journal of Orthopaedic Case Reports"],"original-title":[],"deposited":{"date-parts":[[2026,9,13]],"date-time":"2026-09-13T08:45:24Z","timestamp":1789289124000},"score":1,"resource":{"primary":{"URL":"https:\/\/jocr.co.in\/wp\/2026\/09\/triple-procedure-for-direct-pars-repair-an-innovative-non-fusion-approach-for-managing-spondylolysis-in-late-adolescence-or-early-adulthood\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026]]},"references-count":0,"journal-issue":{"issue":"9","published-online":{"date-parts":[[2026]]},"published-print":{"date-parts":[[2026]]}},"URL":"https:\/\/doi.org\/10.13107\/jocr.2026.v16.i09.8010","relation":{},"ISSN":["2321-3817"],"issn-type":[{"value":"2321-3817","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026]]},"assertion":[{"value":"Research Article","name":"content_type","label":"Content Type"},{"value":"Yes","name":"crosschecked","label":"CrossChecked"},{"value":"Yes","name":"peer_reviewed","label":"Peer Reviewed"},{"value":"10.13107\/jocr.2026.v16.i09.8010","name":"published","label":"Published"},{"value":"Creative Commons Attribution","name":"license","label":"License","explanation":{"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},"group":{"name":"rights","label":"Rights"}}]}}