Medizinische Universität Graz Austria/Österreich - Forschungsportal - Medical University of Graz
Gewählte Publikation:
SHR Neuro Krebs Kardio Lipid Stoffw Microb
Klassen, PD; Lesage, G; Miller, LE; Hes, R; Wolfs, JFC; Eustacchio, S; Vajkoczy, P.
Reoperation After Primary Lumbar Discectomy with or without Implantation of a Bone-Anchored Annular Closure Device: Surgical Strategies and Clinical Outcomes.
World Neurosurg. 2019; 130(3-4):e926-e932-e926-e932
Doi: 10.1016/j.wneu.2019.07.038
Web of Science
PubMed
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FullText_MUG
- Co-Autor*innen der Med Uni Graz
- Eustacchio Sandro
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- Abstract:
- To determine whether presence of a bone-anchored annular closure device (ACD) impacts reoperation strategies and subsequent outcomes. Patients with large annular defects after single-level limited lumbar discectomy were randomly allocated to receive an ACD or discectomy alone (controls) and were followed for at least 3 years. Among 550 patients, reoperation risk was lower with ACD (11.0% vs. 19.3%). The types of reoperations and operative time were similar in each group, and the ACD did not interfere with surgical planning or operative technique. Fusion success was 87% with ACD versus 85% for controls. Perioperative complications occurred in 22% and 19% of reoperations, respectively. Leg pain and back function were improved with ACD versus controls after fusion procedures, and no group differences were observed after non-fusion reoperations. In patients undergoing post-discectomy reoperation, patients with an ACD were treated with similar operative techniques, were not exposed to additional surgical risks, and reported comparable clinical outcomes versus those without an ACD. Copyright © 2019. Published by Elsevier Inc.
- Find related publications in this database (using NLM MeSH Indexing)
- Adult -
- Bone-Anchored Prosthesis -
- Diskectomy - instrumentation
- Diskectomy - methods
- Female -
- Follow-Up Studies -
- Humans -
- Intervertebral Disc Displacement - diagnostic imaging
- Intervertebral Disc Displacement - surgery
- Lumbar Vertebrae - diagnostic imaging
- Lumbar Vertebrae - surgery
- Male -
- Middle Aged -
- Reoperation - instrumentation
- Reoperation - methods
- Second-Look Surgery - instrumentation
- Second-Look Surgery - methods
- Treatment Outcome -
- Find related publications in this database (Keywords)
- Annulus fibrosus
- Discectomy
- Fusion
- Revision
- Sciatica