Reoperation after microdiscectomy of lumbar herniation: Case report

Annuloplasty is the modern pathogenetically substantiated surgical technique for managing lumbar disc herniation that improves the outcomes of limited microdiscectomy. Nevertheless, the rare complications require using a special strategy for managing and customizing treatment and reoperation.

We present a clinical case of a patient with transpedicular and interbody fixation reoperation after annuloplasty with Barricaid closure device. The aim of this article is to demonstrate the opportunities of surgical treatment of patients with lumbar disc herniation involving annuloplasty using the Barricaid closure device as the final stage and the ways to resolve possible complications requiring reoperation.

Searching for the most effective methods for preventing recurrent disc herniation is far from being completed; the need for improving methods and techniques of surgical treatment of this pathology is still topical. Reconstruction of the fibrous ring defect is currently one of the promising areas in preventing recurrent lumbar disc herniation.

Elimination of rare complications that have emerged after using the Barricaid annular closure device and require reoperation is possible and has satisfactory outcome.