OUTCOMES OF SURGICAL TREATMENT OF LUMBAR DISK HERNIATION USING AN 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 Bar...
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| Format: | Article |
| Language: | English |
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Sociedade Brasileira de Coluna (SBC)
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| Series: | Coluna/Columna |
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| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1808-18512018000300188&lng=en&tlng=en |
| _version_ | 1818567100594126848 |
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| author | Abdugafur Jabborovich Sanginov Aleksandr Vladimirovich Krutko Evgenii Sergeevich Baykov Anatoliy Andreevich Lutsik |
| author_facet | Abdugafur Jabborovich Sanginov Aleksandr Vladimirovich Krutko Evgenii Sergeevich Baykov Anatoliy Andreevich Lutsik |
| author_sort | Abdugafur Jabborovich Sanginov |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-12-14T06:19:08Z |
| format | Article |
| id | doaj.art-f5d48d76df9e47239f604f055e401ace |
| institution | Directory Open Access Journal |
| issn | 2177-014X |
| language | English |
| last_indexed | 2024-12-14T06:19:08Z |
| publisher | Sociedade Brasileira de Coluna (SBC) |
| record_format | Article |
| series | Coluna/Columna |
| spelling | doaj.art-f5d48d76df9e47239f604f055e401ace2022-12-21T23:13:54ZengSociedade Brasileira de Coluna (SBC)Coluna/Columna2177-014X17318819410.1590/s1808-185120181703193832S1808-18512018000300188OUTCOMES OF SURGICAL TREATMENT OF LUMBAR DISK HERNIATION USING AN ANNULAR CLOSURE DEVICEAbdugafur Jabborovich SanginovAleksandr Vladimirovich KrutkoEvgenii Sergeevich BaykovAnatoliy Andreevich LutsikABSTRACT 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.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1808-18512018000300188&lng=en&tlng=enIntervertebral disc displacementAnnulus fibrosusDiskectomyBone plate |
| spellingShingle | Abdugafur Jabborovich Sanginov Aleksandr Vladimirovich Krutko Evgenii Sergeevich Baykov Anatoliy Andreevich Lutsik OUTCOMES OF SURGICAL TREATMENT OF LUMBAR DISK HERNIATION USING AN ANNULAR CLOSURE DEVICE Coluna/Columna Intervertebral disc displacement Annulus fibrosus Diskectomy Bone plate |
| title | OUTCOMES OF SURGICAL TREATMENT OF LUMBAR DISK HERNIATION USING AN ANNULAR CLOSURE DEVICE |
| title_full | OUTCOMES OF SURGICAL TREATMENT OF LUMBAR DISK HERNIATION USING AN ANNULAR CLOSURE DEVICE |
| title_fullStr | OUTCOMES OF SURGICAL TREATMENT OF LUMBAR DISK HERNIATION USING AN ANNULAR CLOSURE DEVICE |
| title_full_unstemmed | OUTCOMES OF SURGICAL TREATMENT OF LUMBAR DISK HERNIATION USING AN ANNULAR CLOSURE DEVICE |
| title_short | OUTCOMES OF SURGICAL TREATMENT OF LUMBAR DISK HERNIATION USING AN ANNULAR CLOSURE DEVICE |
| title_sort | outcomes of surgical treatment of lumbar disk herniation using an annular closure device |
| topic | Intervertebral disc displacement Annulus fibrosus Diskectomy Bone plate |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1808-18512018000300188&lng=en&tlng=en |
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