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

摘要:

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。

Abstract:

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 re- vision surgery. Barricaid bone-anchored annular closure device (ACD) has been proved to effectively reduce the recurrence rate and reoper- ation 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.