Korean J Neurotrauma.  2014 Oct;10(2):119-122. 10.13004/kjnt.2014.10.2.119.

Use of Annular Closure Device (Barricaid(R)) for Preventing Lumbar Disc Reherniation: One-Year Results of Three Cases

• Hahn BS
• Ji GY
• Moon B
• Shin DA
• Ha Y
• Kim KN
• Yoon DH

• KMID: 2256244
• DOI: http://doi.org/10.13004/kjnt.2014.10.2.119

Abstract

Although lumbar discectomy is an effective treatment for lumbar disc herniation, complications exist, including postoperative disc height loss, facet joint degeneration, and recurrent disc herniation. To solve these problems, annular closure devices have been utilized in other countries, producing satisfactory results, but there has been no report of annular closure device use in our country. Here, we demonstrate the preliminary reports of Barricaid(R) insertion in 3 patients who underwent surgery for lumbar disc herniation.

Keyword

Lumbar vertebrae; Intervertebral disc degeneration; Diskectomy

MeSH Terms

Diskectomy
Humans
Intervertebral Disc Degeneration
Lumbar Vertebrae
Zygapophyseal Joint

Figure

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  FIGURE 1 The Barricaid® design. Barricaid® is formed from a flexible mesh comprising multiple layers of counter-angulated fibers and a strong titanium bone anchor that anchors the mesh to one of the surrounding vertebral bones (Courtesy of Intrinsic Therapeutics, Woburn, MA, USA).

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  FIGURE 2 (A) Radiographs of case 1 taken preoperatively, (B) 3 months postoperatively, and (C) 13 months postoperatively.

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  FIGURE 3 (A) Radiographs of case 2 taken preoperatively, (B) 3 months postoperatively, and (C) 13 months postoperatively.

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  FIGURE 4 (A) Radiographs of case 3 taken preoperatively, (B) 3 months postoperatively, and (C) 13 months postoperatively.

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  FIGURE 5 The titanium anchor is inserted into the bone (parallel to the surface of the endplate) and the mesh forms a barrier that blocks the defect (Courtesy of Intrinsic Therapeutics, Woburn, MA, USA).

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