Effect of a strutted intradiscal spacer (DIVA®) on disc reherniation following lumbar discectomy: A 2-year retrospective matched cohort study.

Srour, Robin; El Arbi, Amira; Rahmouni, Ahmed; Aljohani, Hani; Orenstein, Daniel; Hoarau, Xavier; Benali, Mustapha Ali; Mortada, Jihad et al. · J Orthop · 2021

retrospective_cohort · Level III

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Abstract

Discectomy for lumbar disc herniation has a high rate of reoperation and recurrent herniation. Retrospectively matched cohort of patients undergoing lumbar discectomy alone or with a strutted intradiscal spacer. 133 discectomy and 112 patients with discectomy plus spacer were included. Pain and disability scores were significantly lower for both groups at 2 years. Patients receiving a strutted intradiscal spacer following discectomy had a reduced rate of all-cause reoperations and operations for recurrent herniations compared to discectomy alone. Use of a strutted intradiscal spacer following discectomy improves surgical outcomes following surgery for lumbar herniation versus discectomy alone.

Anatomy