Lumbar discectomy with annulus fibrosus closure: A retrospective series of 53 consecutive patients.

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State: Public
Version: Final published version
License: CC BY 4.0
Serval ID
serval:BIB_447E405B7A6B
Type
Article: article from journal or magazin.
Publication sub-type
Case report (case report): feedback on an observation with a short commentary.
Collection
Publications
Institution
Title
Lumbar discectomy with annulus fibrosus closure: A retrospective series of 53 consecutive patients.
Journal
Neuro-Chirurgie
Author(s)
Kurzbuch A.R., Tuleasca C., Fournier J.Y.
ISSN
1773-0619 (Electronic)
ISSN-L
0028-3770
Publication state
Published
Issued date
07/2022
Peer-reviewed
Oui
Volume
68
Number
4
Pages
393-397
Language
english
Notes
Publication types: Journal Article
Publication Status: ppublish
Abstract
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.
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 12months.
Twelve out of 53 patients (22.6%) were eligible for ACD implantation. Patients of group 2 were significantly taller (mean 176cm, P=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 (P=0.01), being greater in group 2 (mean 0.9) as compared with group 1 (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.
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.
Keywords
Annulus Fibrosus/surgery, Diskectomy, Humans, Intervertebral Disc Displacement/surgery, Lumbar Vertebrae/surgery, Retrospective Studies, Treatment Outcome, Annular closure device, Barricaid®, Discal, Discale, Hernia, Hernie, Lombaire, Lumbar, Reherniation
Pubmed
Open Access
Yes
Create date
06/01/2022 18:07
Last modification date
13/08/2022 6:37
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