A new and proven solution to prevent reherniation.
- Reduces reoperations for reherniation by 81%1
- FDA Approved - Proven safe and effective
- 92% of patients returned to work by 3 months
1 – % Reduction in Reoperation to Treat Reherniations. Some studies outside US indications. Min. 1yr PostOp
Discectomy Education
Discectomy
Classified as a decompression procedure, the purpose of a discectomy/ microdiscectomy is to relieve nerve pressure, compression, or irritation. The surgeon removes the portion of the herniated disc that is affecting a nearby nerve and causing pain, weakness or numbness. A microdiscectomy is a similar procedure as a discectomy, only done through a smaller opening often including a tubular access port.
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The current discectomy standard of care is to not repair the hole in the disc, leaving the patient exposed to the high risk of recurrent herniation and revision surgery if the hole is larger than a pencil eraser. Following surgery, the patient is recommended to avoid lifting or twisting to give time for the hole to scar over before assuming their normal activity.
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Why Close the Hole?
When a disc herniates, it’s because a hole or weakness has developed in the wall of the disc and the material inside the disc has been pushed out. The surgeon performs the discectomy though this access point. If a large hole is left open, there is a 27%+ chance of reherniation and the return of pain and symptoms. Barricaid is design to close the hole by creating a barrier against reherniation.
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Discectomies fail when the disc reherniates and pain/weakness/numbness return. Physical therapy and pain management are recommended. If symptoms do not go away, a second surgery is often required including another discectomy or a more invasive fusion procedure. Fusion is when two segments of the spine are joined together with bridging bone. Fusion is most often accompanied by screws and rods to brace the segment. Second surgeries can ruin lives and are often accompanied by disability, with 68% of second surgery patients not returning to work and 88% using opioids.
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The Barricaid Procedure
Barricaid is a small implant, slightly larger than a pencil eraser that is designed to plug the larger holes in the disc wall. It is made up of a titanium boneanchor which secures the polymer plug into the disc space to repair and reconstruct disc wall. Barricaid has been shown to reduce the need for a second operation by 81%.
A special instrument is used to deliver Barricaid’s polymer plug into the hole in the disc. The intense pressure from inside the disc holds the plug against the inside of the disc wall. This prevents any further disc material from escaping the disc. A titanium anchor is malleted into the bone, securing the polymer plug into the hole in the disc wall.
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Barricaid was studied in seven different populations of people that received the device. Barricaid reduced reoperations for reherniations by 81% as compared to patients that only received discectomy. This means that 81% fewer Barricaid patients had a return to symptoms that required a second operations than those that only had a standard discectomy. A second surgery is often accompanied by disability, with 68% of patients not returning to work and 88% using opioids.
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Barricaid was proven safe and effective in a rigorous study presented to the FDA. Based on
this strong clinical data, the FDA approved the Barricaid device for implantation into the
spine after a discectomy. Barricaid has been implanted in over 11,000+ patients and has been
proven biomechanically stable by independent laboratory testing. Patients have been
followed out to ten years with positive results.
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Barricaid is designed for patients that are at risk of discectomy failure and do not want to risk a second surgery and a higher likelihood of disability. Patients that received Barricaid with their discec tomy are 81% less likely to need a second surgery than discectomy-only patients. These patients are able to return to work and activity without limitations on their lives.
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In a Barricaid study, patients receiving the device were able to return to work an average of 3.6 weeks later, much faster than recent discectomy studies which averaged 9 weeks. Once the soreness at the incision site fades, patients are told to return to activity without limitation. Talk to your doctor about their recommended recovery protocols.
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Patients take comfort in the fact that Barricaid has been proven again and again in clinical studies to greatly reduce the chance of reherniation, reoperation, and the return of painful symptoms. While the discectomy resolves their pain, Barricaid gives them the confidence to return to work and activity.