Lange Nicole, Meyer Bernhard, Shiban Ehab
Department of Neurosurgery, Klinikum Rechts der Isar, Technische Universität München, Ismaninger Str. 22, 81675, Munich, Germany.
Acta Neurochir (Wien). 2018 Jan;160(1):199-203. doi: 10.1007/s00701-017-3371-1. Epub 2017 Oct 26.
We report the unusual case of a young patient with reoperation after annuloplasty using the Barricaid® (Intrinsic Therapeutics, Woburn, MA, USA) closure device. Our patient, a 32-year-old man underwent lumbar discectomy and annuloplasty of the level L5-S1. Five years later, the patient presented with a new onset of low-back pain radiating into the right leg. Imaging revealed loosening of the annulus repair device. The device was removed surgically and the patient was pain free thereafter. Annular closure devices such as the Barricaid system aim to improve outcome after lumbar discectomy by reducing the risk of recurrent disc herniation of the same level. Data on long-term follow-up are missing. Here we present, to our knowledge, the first case of symptomatic device loosening.
我们报告了一例年轻患者的罕见病例，该患者在使用Barricaid®（美国马萨诸塞州沃本市的Intrinsic Therapeutics公司）闭合装置进行瓣环成形术后再次接受手术。我们的患者是一名32岁男性，接受了L5-S1节段的腰椎间盘切除术和瓣环成形术。五年后，患者出现新发的下背部疼痛并向右下肢放射。影像学检查显示瓣环修复装置松动。通过手术取出该装置，此后患者疼痛消失。诸如Barricaid系统之类的瓣环闭合装置旨在通过降低同一节段复发性椎间盘突出的风险来改善腰椎间盘切除术后的疗效。长期随访数据缺失。据我们所知，这里我们呈现了首例有症状的装置松动病例。
