In most cases, non-surgical therapies will be adequate for the treatment of pars fracture. Medication, rest, and bracing may be used to facilitate the recovery process. One can expect recovery to last three to four months, and physical therapy may be pursued to help strengthen compensatory structures.
If conservative treatments prove ineffective, surgery is an option to treat persistent pain. Some of the more common procedures performed include:
- Laminectomy, a form of spinal decompression surgery in which a portion of the vertebra including the pars articularis is removed to reduce pressure on underlying tissues.
- Posterior lumbar fusion may be employed in cases of vertebral instability to fuse two vertebrae together, thus returning stability to the spinal column. Therapy will typically last for 6-8 weeks following this procedure, but full recovery may take up to 6 months.