Twenty-six years old female with symptomatic spondylolysis performed pars repair after failed conservative treatment for 6 months. (A) Preoperative plain X-ray, (B) preoperative CT, and (C) preoperative MRI showing spondylolysis at L5. Pedicle screw hook fixation was performed. (D, E) Intraoperative anteroposterior and lateral images. (F) CT at final follow-up showing healing of the defect.