When a 14-year-old national-level badminton player showed up at Ganga Hospital with stress fractures on both sides of the pars interarticularis in the back of a vertebra from repetitive stress (bilateral pars defect), the usual conservative playbook — rest, bracing, PT, activity modification — had already been run, and failed.
Rather than consigning him to a lumbar fusion and a future of motion-limited smashes, the surgical team pulled out a modern combo move: robotic-assisted direct pars repair plus biologic augmentation with r-BMP.
Subscribe to continue reading
- Unlimited access to our content and archive
- Exclusive access to our newsletter
- Join the Conversation! Exclusive access to article comments.

