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Research ArticleMinimally Invasive Surgery

Utilization of Bone-Anchored Annular Defect Closure to Prevent Reherniation Following Lumbar Discectomy: Overcoming Barriers to Clinical Adoption and Market Access

Morgan P. Lorio, William C. Watters, Betsy H. Grunch, Andrew K. Metzger, Kai-Uwe Lewandrowski, Jon E. Block and Gunnar B.J. Andersson
International Journal of Spine Surgery April 2024, 18 (2) 222-230; DOI: https://doi.org/10.14444/8592
Morgan P. Lorio
1 Advanced Orthopedics, Altamonte Springs, FL, USA
MD
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William C. Watters
2 WCW Consultants, Houston, TX, USA
MD
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Betsy H. Grunch
3 Longstreet Clinic, Gainesville, GA, USA
MD
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Andrew K. Metzger
4 Barrow Brain and Spine, Gilbert, AZ, USA
MD
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Kai-Uwe Lewandrowski
5 Center for Advanced Spine Care of Southern Arizona, Tucson, AZ, USA
MD
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Jon E. Block
6 Consultant, San Francisco, CA, USA
PHD
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  • For correspondence: jb@drjonblock.com
Gunnar B.J. Andersson
7 Consultant, Scottsdale, AZ, USA
MD, PHD
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Article Figures & Data

Figures

  • Figure 1
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    Figure 1

    The Barricaid annular closure device.

  • Figure 2
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    Figure 2

    Weighted average of percentage reduction in reoperations for recurrent disc herniation across 8 distinct studies (~800 patients). Values at a minimum postoperative follow-up of 1 year.

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    Figure 3

    Comparative responder rates for patient-reported clinical outcomes, symptomatic reherniations, reoperations, and adverse events between Barricaid-treated patients with endplate changes and patients treated with discectomy only. Abbreviations: Dev, device; Neuro, neurologic; ODI, Oswestry Disability Index; Proc, procedure; RH, reherniation; SAE, severe adverse event; VAS, visual analog scale.

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International Journal of Spine Surgery
Vol. 18, Issue 2
1 Apr 2024
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Utilization of Bone-Anchored Annular Defect Closure to Prevent Reherniation Following Lumbar Discectomy: Overcoming Barriers to Clinical Adoption and Market Access
Morgan P. Lorio, William C. Watters, Betsy H. Grunch, Andrew K. Metzger, Kai-Uwe Lewandrowski, Jon E. Block, Gunnar B.J. Andersson
International Journal of Spine Surgery Apr 2024, 18 (2) 222-230; DOI: 10.14444/8592

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Utilization of Bone-Anchored Annular Defect Closure to Prevent Reherniation Following Lumbar Discectomy: Overcoming Barriers to Clinical Adoption and Market Access
Morgan P. Lorio, William C. Watters, Betsy H. Grunch, Andrew K. Metzger, Kai-Uwe Lewandrowski, Jon E. Block, Gunnar B.J. Andersson
International Journal of Spine Surgery Apr 2024, 18 (2) 222-230; DOI: 10.14444/8592
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  • Article
    • Abstract
    • Introduction
    • Recurrent Lumbar Disc Herniation
    • Barricaid: Technical Description
    • Barriers to Clinical Adoption
    • Interpretation
    • Recommendations
    • Conclusions
    • Footnotes
    • References
  • Figures & Data
  • Info & Metrics
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  • Comparative Review of Lateral and Oblique Lumbar Interbody Fusion: Technique, Outcomes, and Complications
  • Key Considerations in Surgical Decision-Making on the Side of Approach for Lumbar Lateral Transpsoas Interbody Fusion Techniques
  • A Spine Surgeon’s Learning Curve With the Minimally Invasive L5 to S1 Lateral ALIF Surgical Approach: Perioperative Outcomes and Technical Considerations
Show more Minimally Invasive Surgery

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Keywords

  • discectomy
  • herniation
  • recurrent disc
  • annular closure
  • barricaid

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