Prevalence of Symptomatic Reherniation After Lumbar Discectomy Using a Bone-Anchored Annular Closure Device and Associated Contributing Factors: A MetaAnalysis
- Author:
Al-Gunaid ST
1
;
Iqhrammullah M
2
;
Maulana G
1
;
Qanita I
1
;
Adista MA
3
;
Hidayat I
4
Author Information
1. Department of Medicine, Universiti Syiah Kuala, Bandar Aceh, Indonesia
2. Department of Public Health, Universitas Muhammadiyah Aceh, Bandar Aceh, Indonesia
3. Department of Neurology, Universiti Syiah Kuala, Bandar Aceh, Indonesia
4. Department of Surgery, Universiti Syiah Kuala, Bandar Aceh, Indonesia
- Publication Type:Journal Article
- Keywords:
bone-anchored annular closure device;
ACD;
recurrent disc herniation;
lumbar discectomy;
prevalence
- From:Malaysian Orthopaedic Journal
2026;20(No. 1):45-
- CountryMalaysia
- Language:English
-
Abstract:
Introduction: The primary issue following lumbar
discectomy for disc herniation is the risk of reherniation in
the post-operative period. Many surgical techniques have
been proposed to treat disc reherniation, however, the
optimal one remains variable. This meta-analysis aimed to
investigate the prevalence of symptomatic reherniation after
using a Bone-anchored annular closure device following
lumbar discectomy and the contributing factors.
Materials and methods: Identification of published
literature was performed on PubMed, Google Scholar,
Scopus, and Web of Science databases. Studies published
until 14 February 2024 reported the prevalence of
symptomatic reherniation after using a Bone-anchored
annular closure device following lumbar discectomy and the
associated contributing factors. A random effects model was
used to conduct Bayesian frequentist network meta-analysis
and pair-wise meta-analysis, with the assessment based on
standardised mean difference (SMD) and 95% confidence
interval (CI).
Results: Eleven studies published in 2012 − 2022 recruiting
a total of 5195 patients were included in the meta-analysis.
The prevalence of reherniation in ACD and control groups
was 23.2% (95% CI: 18.2% − 28.1%) and 36.4% (95% CI:
28.2% − 44.5%), respectively. The moderator effect of
sample size is significant for pooled data of the ACD group
(p-mod=0.002), but not for the control group (pmod=0.278). After the adjustment with sample size, the
prevalence rates were 13.6% (95% CI: 6.2% − 21.1%) and
29.6% (95% CI: 14.9% − 33.2%) for ACD and control
groups, respectively.
Conclusion: Comparatively to lumbar discectomy alone,
using a Bone-anchored annular closure device following
lumbar discectomy decreased the symptomatic reherniation
rate and post-operative complications, as well as the
necessity for subsequent surgeries.
- Full text:2026030910561207561reherniation-lumbar-discectomy.pdf
