1) Preoperative dynamic plain X-ray showing instability and bilateral pars fracture.

2) Preoperative sagittal T2 MRI showing small L5-S1 disc prolapsed.

3) Intraoperative photo showing the plain between multifidus and longissimus muscles.

4) Intraoperative photo showing screws and rod fixation.

5) Intraoperative fluoroscopy at the end of the procedure.

6) Bilateral paramedian closed wounds.

7) Follow up lateral plain x-ray for a case with L4-5 stabilization.