scholarly journals Implantation of a bone-anchored annular closure device in conjunction with tubular minimally invasive discectomy for lumbar disc herniation: a retrospective study

2018 ◽  
Vol 19 (1) ◽  
Author(s):  
Frederic Martens ◽  
Geoffrey Lesage ◽  
Jeffrey M. Muir ◽  
Jonathan R. Stieber
Keyword(s):  
Retrospective Study ◽  
Minimally Invasive ◽  
Lumbar Disc Herniation ◽  
Disc Herniation ◽  
Lumbar Disc ◽  
Closure Device ◽  
Annular Closure Device

scholarly journals OUTCOMES OF SURGICAL TREATMENT OF LUMBAR DISK HERNIATION USING AN ANNULAR CLOSURE DEVICE

2018 ◽  
Vol 17 (3) ◽  
pp. 188-194 ◽  
Author(s):  
Abdugafur Jabborovich Sanginov ◽  
Aleksandr Vladimirovich Krutko ◽  
Evgenii Sergeevich Baykov ◽  
Anatoliy Andreevich Lutsik
Keyword(s):  
High Risk ◽  
Nucleus Pulposus ◽  
Lumbar Disc Herniation ◽  
Disc Herniation ◽  
Lumbar Disc ◽  
Intraoperative Complications ◽  
Case Series ◽  
Reoperation Rate ◽  
Closure Device ◽  
Annular Closure Device

ABSTRACT Objective: The aim of the study was to investigate the clinical and radiological results of using the annular closure device in patients with lumbar disc herniation (LDH). Methods: The study involved 120 patients with LDH operated on by limited discectomy and annular closure using the Barricaid device. A literature review was conducted to evaluate the effectiveness of the annuloplasty. Results: All patients showed postoperative regression of the radicular pain syndrome and were mobilized on the day of surgery. The correlation between the removed nucleus pulposus and changes in DHI was studied by linear regression. The results revealed that disc height loss is directly correlated with the volume of removed nucleus pulposus (p <0.05). Modic changes were present in 22 (22%) patients. Endplate changes (resorption and erosion) were present in 25 patients (20.7%). We found that these changes in MR and CT images have no effect on the clinical presentation of the disease. No intraoperative complications, such as severe hemorrhage requiring blood transfusion, or injury to the dura mater or nerve roots, were observed in our case series. Postoperative complications occurred in 3 (2.5%) patients. The reoperation rate was 4.2%. Conclusions: The use of the Barricaid annular closure device in 120 patients with lumbar disc herniation and high risk of recurrent herniation showed good clinical and radiographic outcomes. The reoperation rate in our study was 2.5%; disc reherniation at the operated level was observed in 1.7% of patients. This is a good outcome compared to the data reported for patients having a high risk of disc reherniation. Level of Evidence IV; Case series.

scholarly journals Effectiveness of an Annular Closure Device to Prevent Recurrent Lumbar Disc Herniation

2021 ◽  
Vol 4 (12) ◽  
pp. e2136809
Author(s):  
Claudius Thomé ◽  
Adisa Kuršumović ◽  
Peter Douglas Klassen ◽  
Gerrit J. Bouma ◽  
Richard Bostelmann ◽  
...  
Keyword(s):  
Lumbar Disc Herniation ◽  
Disc Herniation ◽  
Lumbar Disc ◽  
Closure Device ◽  
Annular Closure Device ◽  
Recurrent Lumbar Disc Herniation

scholarly journals Full-Endoscopic Technique Discectomy Versus Microendoscopic Discectomy for the Surgical Treatment of Lumbar Disc Herniation

2015 ◽  
Vol 18;4 (4;18) ◽  
pp. 359-363
Author(s):  
Huilin Yang
Keyword(s):  
Retrospective Study ◽  
Surgical Treatment ◽  
Minimally Invasive ◽  
Hospital Stay ◽  
Lumbar Disc Herniation ◽  
Disc Herniation ◽  
Lumbar Disc ◽  
Minimally Invasive Procedures ◽  
Invasive Procedures ◽  
Microendoscopic Discectomy

Background: Full-endoscopic technique discectomy (FED) or microendoscopic discectomy (MED) are 2 widely used minimally invasive procedures for the treatment of lumbar disc herniation. However, there is insufficient literature regarding the differences between these 2 surgical procedures. Objective: To compare the clinical outcomes of 2 different minimally invasive methods—fullendoscopic technique discectomy and microendoscopic discectomy—in the surgical treatment of lumbar disc herniation. Study Design: Retrospective study. Setting: Inpatient surgery center. Methods: Data form 65 patients with lumbar disc herniation treated with one of 2 minimally invasive procedures were retrospectively analyzed. Patients were divided into 2 groups according to surgical method: the FED group (n = 35) and the MED group (n = 30). Surgery time, time kept in bed after surgery, duration of postoperative hospital stay, visual analog scale (VAS; 0 – 10), and Oswestry Disability index (ODI; 0 – 100%) were assessed and compared between the 2 groups. Results: There were no significant differences in the preoperative data between the 2 groups (P > 0.05). VAS and ODI scores improved significantly postoperatively in both groups (P < 0.05). Surgery time was longer in the FED group than in the MED group (P < 0.05). However, the FED group was superior to the MED group, with less time in bed, shorter hospital stay, and lower VAS scores one day postoperatively (P < 0.05). There were no significant differences in VAS or ODI scores at one, 3, and 12 months after surgery between the 2 groups (P > 0.05). Limitations: This is a retrospective study with a relatively short follow-up period. Conclusions: Although the clinical outcomes of the 2 surgical techniques were similar, the FED had the advantages of quicker postoperative recovery and more immediate effect. Key words: Full-endoscopic, microendoscopic, discectomy, lumbar disc herniation, minimally invasive, surgical treatment

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