Dr. NaPier offers Barricaid Annular Closure Device to Reduce Risk of Recurrent Disc Herniation and Sciatica
Lumbar disc herniation is the leading cause of sciatica in working age population. Dr. NaPier performs a high volume of lumbar microdiscectomy surgeries in patients with disc herniations that do not respond to nonsurgical treatment. While lumbar microdisectomy is generally very successful, the biggest problem with microdiscectomy is recurrent lumbar disc herniation, which can occur in 7-15% of patients. Patients with recurrent lumbar disc herniation tend to have more pain and miss more work than patients who do not require revision surgery.
The pathophysiology of a lumbar disc herniation is that the gelatinous cushioning material (nucleus pulposus) inside the disc ends up escaping through a crack in the fibrous outer layer of the disc (annulus fibrosis)
In this image the Red represents a Lumbar Disc Herniation or Herniated Nucleus Pulposis, a common cause of sciatica
During lumbar microdiscectomy surgery the red herniated disc material is removed, but this often leaves a large defect in the fibrous crust of the disc (annulus fibrosis). This is especially common in young, active patients.
Barricaid works by plugging or filling that annular defect in order to reduce the chance of more nucleus pulposus from squirting out. The device is extremely well studied. The FDA approval process over a ten year period involving thousands of patients demonstrated a reduction in symptomatic reherniation of approximately 81%. Please visit Barricaid.com for an extensive literature review.
The Barricaid Annular Closure Device is shaped like a catcher’s mitt and is anchored to your bone in order to prevent recurrent disc herniation.
Dr. NaPier is a sciatica specialist and his team are committed to treating sciatica with the most effective and reliable techniques available. Dr. NaPier is pleased to offer the Barricaid annular closure device to appropriately selected patients in Lafayette, Carmel, Greater Indianapolis and Northwest Indiana. Please call us to see if you may be a candidate!
