Lumbar discectomy with annulus fibrosus closure: A retrospective series of 53 consecutive patients
| Autor: | A. Kurzbuch, C. Tuleasca, J.-Y. Fournier |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2022 |
| Předmět: |
Lumbar Vertebrae
disc herniation barricaid Annulus Fibrosus reherniation annular closure device hernia discal Treatment Outcome Annulus Fibrosus/surgery Diskectomy Humans Intervertebral Disc Displacement/surgery Lumbar Vertebrae/surgery Retrospective Studies Annular closure device Barricaid® Discal Discale Hernia Hernie Lombaire Lumbar Reherniation Surgery Neurology (clinical) care barricaid (r) Intervertebral Disc Displacement lumbar |
| Zdroj: | Neuro-Chirurgie, vol. 68, no. 4, pp. 393-397 |
| Popis: | Introduction. - Lumbar disc herniation is most common degenerative alteration of the spine. Whenever surgical therapy proves to be necessary, recurrent disc herniation is most frequent concern. Here, primary aim was to determine the percentage of patients eligible for insertion of an annular closure device (ACD). Secondary aim to evaluate 12 -month incidence of recurrent disc herniation at the operated level. Our hypothesis was that ACD might help in preventing recurrent disc herniation. Methods. - Patients in a single Swiss neurosurgical center underwent limited discectomy alone (n = 41, group 1) versus limited discectomy plus ACD (n = 12, group 2). Mean postoperative follow-up period was 12 months. Results. - Twelve out of 53 patients (22.6%) were eligible for ACD implantation. Patients of group 2 were significantly taller (mean 176 cm, 13= 0.007) as compared with group 1 (mean 170). The only statistically significant difference of intraoperative parameters between group 1 and 2 was amount of nucleus materiel removed (A= 0.01), being greater in group 2 (mean 0.9) as compared with group I (mean 0.3). In group 1 six patients (6/41, 14.6%) presented with symptomatic reherniation at same level of surgery, while in group 2 only one patient experienced recurrence (1/12, 8.3%). No adverse events were reported. Discussion. - In the current study one out of five patients with lumbar disc herniation was considered suitable for ACD placement. In vast majority of these patients reherniation was precluded on the short-term basis. Patients with ACD were taller and had intraoperatively a higher volume of the nucleus pulposus materiel removed. (C) 2022 Les Auteurs. Publie par Elsevier Masson SAS. |
| Databáze: | OpenAIRE |
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