title: [Risk of recurrence and postoperative intervertebral disc degeneration after lumbar intervertebral disc operation - is an anulus closure prosthesis the solution?].
abstract: A lumbar disc herniation is a frequent pathology. The incidence of a postoperative recurrence is between 1-18%. According to the current literature, a large anular defect and a limited perioperative microdiscectomy leads to an increased risk of recurrence. In contrast, a generous perioperative microdiscectomy comes along with an accelerated postoperative disc height loss and a progressive degenerative disc disease. The present work discusses the position of an anular-closure-device in respect of the problem risk of recurrence versus postoperative degenerative disc disease.
authors.affiliation: Service de Neurochirurgie, Hôpitaux Universitaires de Genève et Faculté de Médecine, Université de Genève.
authors.forename: Oliver P
authors.initials: OP
authors.lastname: Gautschi
authors.affiliation: Service de Neurochirurgie, Hôpitaux Universitaires de Genève et Faculté de Médecine, Université de Genève.
authors.forename: Marco V
authors.initials: MV
authors.lastname: Corniola
authors.affiliation: Service de Neurochirurgie, Hôpitaux Universitaires de Genève et Faculté de Médecine, Université de Genève.
authors.forename: Karl
authors.initials: K
authors.lastname: Schaller
mesh_terms: D000328:Adult; D006801:Humans; D055959:Intervertebral Disc Degeneration / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery*; D007405:Intervertebral Disc Displacement / Q000175:diagnosis / Q000601:surgery*; D008159:Lumbar Vertebrae / Q000601:surgery*; D008297:Male; D011183:Postoperative Complications / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery*; D019736:Prostheses and Implants; D011474:Prosthesis Design; D012086:Reoperation; D055502:Secondary Prevention
keywords: Anulus-Verschluss; Barricaid®; Rezidivrisiko; anular closure; dégénérescence discale post-opératoire; fermeture discale; lumbale diskale Teil-Endoprothese; lumbar disc partial endoprosthesis; postoperative Bandscheibendegeneration; postoperative degenerative disc degeneration; prothèse partielle pour la fermeture de l'anneau fibreux; risk of recurrence; risque de récidive