Annulus Fibrosus Repair after lumbar discectomy

Semlitsch T, Geiger-Gritsch S
Record ID 32018000345
Original Title: Verschluss eines Anulus-fibrosus-Defekts nach Diskektomie
Authors' objectives: In about 10% of patients with a herniated disc, surgery (discectomy) is indicated. However, the long-term results of discectomy are unsatisfactory. This report evaluates whether the implantation of an anular closure device (Barricaid®) results in better clinical long-term outcomes than the standard discectomy.
Authors' results and conclusions: For the 2019 update, an RCT with a superiority design and an uncontrolled observational study with two years follow-up each were identified in addition to the observational study already included in the 2013 assessment. Both studies do not allow a reliable assessment of the efficacy and safety of the procedure due to their bias potential.
Project Status: Completed
Year Published: 2019
URL for additional information:
English language abstract: An English language summary is available
Publication Type: Full HTA
Country: Austria
MeSH Terms
  • Therapeutics
  • Diskectomy
  • Annulus Fibrosus
  • Surgical Procedures, Operative
  • Minimally Invasive Surgical Procedures
  • Back Pain
  • Back pain
  • discectomy
  • Barricaid
  • Xclose
  • spinal surgery
  • neurosurgery
Organisation Name: Ludwig Boltzmann Institute for Health Technology Assessment
Contact Address: Ludwig Boltzmann Institute for fuer Health Technology Assessment (LBI-HTA), Garnisongasse 7/rechte Stiege Mezzanin (Top 20), 1090 Vienna, Austria. Tel: +43 1 236 8119 - 0 Fax: +43 1 236 8119 - 99
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This is a bibliographic record of a published health technology assessment from a member of INAHTA or other HTA producer. No evaluation of the quality of this assessment has been made for the HTA database.