腰椎间盘切除Barricaid纤维环闭合装置的现状

Current application of Barricaid annular closure device in lumbar discectomy

腰椎间盘突出可导致剧烈的神经症状,保守治疗效果不理想且症状严重者需行腰椎间盘切除术,而腰椎间盘切除术后有一定复发风险,需要再次手术治疗,Barricaid纤维环闭合装置(annular closure device,ACD)可以有效降低复发率和再手术率,对术后较大的纤维环缺损效果尤为明显。因此,旨在为ACD的临床应用提供参考依据,本文就ACD的适应证与禁忌证、生物力学特点、临床疗效、术后并发症及复发和再手术情况等方面进行综述。

Lumbar disc herniation might cause severe radicular symptoms,which should be treated by lumbar discectomy if patients was refractory to conservative treatment.However,there is a certain risk of recurrent herniation after lumbar discectomy,which leads to revision surgery.Barricaid bone-anchored annular closure device(ACD)has been proved to effectively reduce the recurrence rate and reoperation rate,especially for the large annulus fibrosus defect after discectomy.In order to provide a reference for the clinical application of the Barricaid bone-anchored ACD,this article reviews this ACD in terms of indications and contraindications,biomechanical characteristics,clinical efficacy,postoperative complications and recurrence and reoperation situation,and so on.