LBI-HTA - Publications - Search - Annulus Fibrosus Repair after lumbar discectomy

Semlitsch, T. and Geiger-Gritsch, S. (2019): Annulus Fibrosus Repair after lumbar discectomy . Decision Support Document 65/ Update 2019.

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Abstract

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.

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.

Item Type:Decision Support Document
Keywords:Back pain, discectomy, Barricaid, Xclose, spinal surgery, neurosurgery
Subjects:WB Practice of medicine > WB 300-962 Therapeutics
WE Musculoskeletal system > WE 720-755 Back
WO Surgery > WO 500-517 Operative surgical procedures. Techniques
W Health professions > W 100-275 Medical, dental and pharmaceutical service plans
WO Surgery > WO 505 Minimally invasive surgical procedures
WE Musculoskeletal system > WE 168-190 Orthopedics
Language:German
Series Name:Decision Support Document 65/ Update 2019
Deposited on:15 Jul 2019 08:38
Last Modified:15 Jul 2019 08:38

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