prikaz prve stranice dokumenta The high-risk discectomy patient: prevention of reherniation in patients with large anular defects using an anular closure device
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Scientific paper - Original scientific paper
The high-risk discectomy patient: prevention of reherniation in patients with large anular defects using an anular closure device
European Spine Journal, 22 (2013), 5; 1030-1036. https://doi.org/10.1007/s00586-013-2656-1
Bouma, Gerrit J.; Barth, Martin; Ledić, Darko; Vilendecic, Milorad

Institutional repository: Repository of the University of Rijeka, Faculty of Medicine

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Bouma, G. J., Barth, M., Ledić, D. & Vilendecic, M. (2013). The high-risk discectomy patient: prevention of reherniation in patients with large anular defects using an anular closure device. European Spine Journal, 22. (5), 1030-1036. doi: 10.1007/s00586-013-2656-1

Bouma, Gerrit J., et al. "The high-risk discectomy patient: prevention of reherniation in patients with large anular defects using an anular closure device." European Spine Journal, vol. 22, no. 5, 2013, pp. 1030-1036. https://doi.org/10.1007/s00586-013-2656-1

Bouma, Gerrit J., Martin Barth, Darko Ledić and Milorad Vilendecic. "The high-risk discectomy patient: prevention of reherniation in patients with large anular defects using an anular closure device." European Spine Journal 22, no. 5 (2013): 1030-1036. https://doi.org/10.1007/s00586-013-2656-1

Bouma, G. J., et al. (2013) 'The high-risk discectomy patient: prevention of reherniation in patients with large anular defects using an anular closure device', European Spine Journal, 22(5), pp. 1030-1036. doi: 10.1007/s00586-013-2656-1

Bouma GJ, Barth M, Ledić D, Vilendecic M. The high-risk discectomy patient: prevention of reherniation in patients with large anular defects using an anular closure device. European Spine Journal [Internet]. 2013 [cited 2024 May 09];22(5):1030-1036. doi: 10.1007/s00586-013-2656-1

G. J. Bouma, M. Barth, D. Ledić and M. Vilendecic, "The high-risk discectomy patient: prevention of reherniation in patients with large anular defects using an anular closure device", European Spine Journal, vol. 22, no. 5, pp. 1030-1036, 2013. [Online]. Available at: https://urn.nsk.hr/urn:nbn:hr:184:865124. [Accessed: 09 May 2024]

Metadata
Title (english)The high-risk discectomy patient: prevention of reherniation in patients with large anular defects using an anular closure device
AuthorGerrit J. Bouma
AuthorMartin Barth
AuthorDarko Ledić
AuthorMilorad Vilendecic
Author's institutionUniversity of Rijeka
Faculty of Medicine
(Department of Neurosurgery)
Scientific / art field,
discipline and subdiscipline		BIOMEDICINE AND HEALTHCARE
Clinical Medical Sciences
Surgery
Abstract (english)
Abstract Purpose: With lumbar discectomy for disc herniation, surgeons must choose between limited nucleus removal associated with higher reherniation risk or more aggressive nucleus removal associated with increased back pain and disc degeneration. This trade-off is particularly challenging in patients with large anular defects, which carry the highest risk of reherniation. We examined the effect of an anular closure device on reherniation and clinical outcomes. Methods: Seventy-five primary discectomy patients had a limited discectomy followed by implantation of an anular closure device and were followed-up to 2 years. Anular defect size and volume of removed nucleus was recorded at surgery. Reherniations were reported, pain and function were monitored throughout, and imaging was performed at annual visits. Results: The overall symptomatic reherniation rate was 1.4%, and the asymptomatic reherniation rate was 1.5% at 12 months and 5.1% at 24 months. Both rates compare favorably with literature reports which include symptomatic rates ranging between 2 and 18% (up to 27% for patients with large anular defects) and an asymptomatic rate of 13%. Conclusions: The low reherniation rate in patients at high-risk of reherniation based on anular defect size, despite discectomy being only limited, suggests that an anular closure device may reduce reherniation risk. Clinical outcomes for pain and function at 1 and 2 years post-operatively compared favorably with literature reports. Further study in a randomized controlled trial is required to confirm these results.
Keywords (english)
Languageenglish
Publication typeScientific paper - Original scientific paper
Publication statusPublished
Peer reviewPeer review - international
Publication versionPublished version
Journal titleEuropean Spine Journal
Numberingvol. 22, no. 5, pp. 1030-1036
p-ISSN0940-6719
e-ISSN1432-0932
DOIhttps://doi.org/10.1007/s00586-013-2656-1
URN:NBNurn:nbn:hr:184:865124
Publication2013
Document URLhttp://link.springer.com/10.1007/s00586-013-2656-1
Type of resourceText
Access conditionsOpen access
Terms of useLicence In copyright icon
Created on2022-04-29 15:42:24