{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,14]],"date-time":"2026-06-14T22:42:29Z","timestamp":1781476949745,"version":"3.54.1"},"reference-count":21,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2024,2,2]],"date-time":"2024-02-02T00:00:00Z","timestamp":1706832000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100001809","name":"National Natural Science Foundation of China","doi-asserted-by":"publisher","award":["82372434"],"award-info":[{"award-number":["82372434"]}],"id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Surg."],"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>The aim of this study was to evaluate the efficacy of the pedicle screw-U rod system in treating double-level lumbar spondylolysis with or without spondylolisthesis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A retrospective study was conducted. Twenty-six patients were included in this study and followed up at 3, 6, and 12 months. Patients without spondylolisthesis were treated with double U-shaped rods (group I), and patients with spondylolisthesis were treated with a lengthened U-shaped rod (group II). Japanese Orthopedic Association (JOA) scores, Oswestry disability index (ODI) scores, disc range of motion (ROM), intervertebral space height of fixed levels and adjacent levels, and grading the degeneration of adjacent segmental intervertebral discs were evaluated preoperatively and postoperatively.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>JOA and ODI scores improved significantly at 3 months both in groups I and II. The average bone grafting healing time was 6.1\u2009\u00b1\u20093.1\u2005months for group I and 6\u2009\u00b1\u20092.8\u2005months for group II. The intervertebral space heights of L4\/L5 and L5\/S1 were improved significantly at the final follow-up (<jats:italic>p<\/jats:italic>\u2009&amp;lt;\u20090.05 for both groups). Surgical segmental and adjacent segmental ROM had no significant change at the final follow-up, in comparison with data preoperatively (<jats:italic>p<\/jats:italic>\u2009&amp;gt;\u20090.05). No significant changes of intervertebral space height (L3\/L4) and grading of intervertebral disc degeneration were noted before and after surgery (<jats:italic>p<\/jats:italic>\u2009=\u20090.141 and 0.484, respectively).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The pedicle screw-U rod system provided advantages of being easy in repairing symptomatic double-level lumbar spondylolysis. This technique improved disabilities of patients, preserved the lumbar spine ROM, and delayed the degeneration of adjacent segments.<\/jats:p><\/jats:sec>","DOI":"10.3389\/fsurg.2024.1308389","type":"journal-article","created":{"date-parts":[[2024,2,2]],"date-time":"2024-02-02T04:49:30Z","timestamp":1706849370000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":2,"title":["Using the pedicle screw-U rod system for the treatment of double-level lumbar spondylolysis and isthmic spondylolisthesis"],"prefix":"10.3389","volume":"11","author":[{"given":"Jinghao","family":"Jiang","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tao","family":"Lin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xia","family":"Chen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rui","family":"Gao","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xuhui","family":"Zhou","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2024,2,2]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","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"},{"key":"B2","doi-asserted-by":"publisher","first-page":"937","DOI":"10.2106\/00004623-195335040-00012","article-title":"The age incidence of neural-arch defects in Alaskan natives, considered from the standpoint of etiology","author":"Stewart","year":"1953","journal-title":"J Bone Joint Surg Am"},{"key":"B3","doi-asserted-by":"publisher","first-page":"80","DOI":"10.1016\/S1356-689X(02)00066-8","article-title":"A systematic review of physiotherapy for spondylolysis and spondylolisthesis","volume":"8","author":"McNeely","year":"2003","journal-title":"Man Ther"},{"key":"B4","doi-asserted-by":"publisher","first-page":"73","DOI":"10.1302\/0301-620X.93B1.24732","article-title":"Repair of spondylolysis using compression with a modular link and screws","volume":"93","author":"Altaf","year":"2011","journal-title":"J Bone Joint Surg Br"},{"key":"B5","doi-asserted-by":"publisher","first-page":"e63713","DOI":"10.1371\/journal.pone.0063713","article-title":"A universal pedicle screw and V-rod system for lumbar isthmic spondylolysis: a retrospective analysis of 21 cases","volume":"8","author":"Chen","year":"2013","journal-title":"PLoS One"},{"key":"B6","doi-asserted-by":"publisher","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"},{"key":"B7","first-page":"371","article-title":"Spondylolisthesis","volume":"54","author":"Meyerding","year":"1932","journal-title":"Surg Gynecol Obstet"},{"key":"B8","doi-asserted-by":"publisher","first-page":"1873","DOI":"10.1097\/00007632-200109010-00011","article-title":"Magnetic resonance classification of lumbar intervertebral disc degeneration","volume":"26","author":"Pfirrmann","year":"2001","journal-title":"Spine"},{"key":"B9","doi-asserted-by":"publisher","first-page":"283","DOI":"10.3171\/2014.10.SPINE14415","article-title":"Multiple-level lumbar spondylolysis and spondylolisthesis","volume":"22","author":"Liu","year":"2015","journal-title":"J Neurosurg Spine"},{"key":"B10","doi-asserted-by":"publisher","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"},{"key":"B11","doi-asserted-by":"publisher","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"},{"key":"B12","doi-asserted-by":"publisher","first-page":"250","DOI":"10.1097\/00007632-198504000-00010","article-title":"Pars interarticularis fusion of multiple levels of lumbar spondylolysis. 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