{"id":"https://openalex.org/W4379979907","doi":"https://doi.org/10.7759/cureus.40195","title":"Lumbar Discectomy With Bone-Anchored Annular Closure Device in Patients With Large Annular Defects: One-Year Results","display_name":"Lumbar Discectomy With Bone-Anchored Annular Closure Device in Patients With Large Annular Defects: One-Year Results","publication_year":2023,"publication_date":"2023-06-09","ids":{"openalex":"https://openalex.org/W4379979907","doi":"https://doi.org/10.7759/cureus.40195","pmid":"https://pubmed.ncbi.nlm.nih.gov/37325689","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/10263173"},"language":"en","primary_location":{"id":"doi:10.7759/cureus.40195","doi":"https://doi.org/10.7759/cureus.40195","is_oa":true,"landing_page_url":"https://doi.org/10.7759/cureus.40195","pdf_url":"https://assets.cureus.com/uploads/original_article/pdf/157269/20230613-11340-1i46y0y.pdf","source":{"id":"https://openalex.org/S2738950867","display_name":"Cureus","issn_l":"2168-8184","issn":["2168-8184"],"is_oa":true,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","poland-20","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310316779","host_organization_name":"Cureus, Inc.","host_organization_lineage":["https://openalex.org/P4310316779"],"host_organization_lineage_names":["Cureus, Inc."],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Cureus","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","pubmed"],"open_access":{"is_oa":true,"oa_status":"diamond","oa_url":"https://assets.cureus.com/uploads/original_article/pdf/157269/20230613-11340-1i46y0y.pdf","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5011646164","display_name":"Pierce D. Nunley","orcid":"https://orcid.org/0000-0002-8670-5532","observed_orcids":["https://orcid.org/0000-0002-8670-5532"]},"institutions":[{"id":"https://openalex.org/I4210101400","display_name":"Spine Institute of Louisiana","ror":"https://ror.org/01y3v6r39","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210101400"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Pierce Nunley","raw_affiliation_strings":["Orthopaedics, Spine Institute of Louisiana, Shreveport, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Orthopaedics, Spine Institute of Louisiana, Shreveport, USA","institution_ids":["https://openalex.org/I4210101400"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5015606598","display_name":"K. Brandon Strenge","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210124746","display_name":"Orthopaedic Institute of Western Kentucky","ror":"https://ror.org/02yvvjz71","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210124746"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"K Brandon Strenge","raw_affiliation_strings":["Spine Surgery, The Orthopaedic Institute of Western Kentucky, Paducah, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Spine Surgery, The Orthopaedic Institute of Western Kentucky, Paducah, USA","institution_ids":["https://openalex.org/I4210124746"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5031834031","display_name":"Kade T. Huntsman","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Kade Huntsman","raw_affiliation_strings":["Spinal Surgery, Salt Lake Orthopaedic Clinic, Salt Lake City, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Spinal Surgery, Salt Lake Orthopaedic Clinic, Salt Lake City, USA","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5067842337","display_name":"Hyun W. Bae","orcid":"https://orcid.org/0000-0002-6386-344X","observed_orcids":["https://orcid.org/0000-0002-6386-344X"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Hyun Bae","raw_affiliation_strings":["Orthopaedic Surgery, Cedars-Sinai, Santa Monica, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Orthopaedic Surgery, Cedars-Sinai, Santa Monica, USA","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5065123039","display_name":"Christian P. DiPaola","orcid":"https://orcid.org/0000-0003-1942-2353","observed_orcids":["https://orcid.org/0000-0003-1942-2353"]},"institutions":[{"id":"https://openalex.org/I1303243448","display_name":"UMass Memorial Health Care","ror":"https://ror.org/00pq96s96","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1303243448","https://openalex.org/I166722992"]},{"id":"https://openalex.org/I4210162397","display_name":"UMass Memorial Medical Center","ror":"https://ror.org/053v00853","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1303243448","https://openalex.org/I166722992","https://openalex.org/I4210162397"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Christian DiPaola","raw_affiliation_strings":["Orthopaedics, UMass Memorial Health, Worcester, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Orthopaedics, UMass Memorial Health, Worcester, USA","institution_ids":["https://openalex.org/I1303243448","https://openalex.org/I4210162397"]}]},{"author_position":"middle","author":{"id":null,"display_name":"R. T Allen","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I2800935791","display_name":"UC San Diego Health System","ror":"https://ror.org/01kbfgm16","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I2800935791","https://openalex.org/I36258959"]},{"id":"https://openalex.org/I36258959","display_name":"University of California San Diego","ror":"https://ror.org/0168r3w48","country_code":"US","type":"education","lineage":["https://openalex.org/I36258959"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"R. T Allen","raw_affiliation_strings":["Orthopaedics, UC (University of California) San Diego Health System, San Diego, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Orthopaedics, UC (University of California) San Diego Health System, San Diego, USA","institution_ids":["https://openalex.org/I2800935791","https://openalex.org/I36258959"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5016122611","display_name":"Andrew Shaw","orcid":"https://orcid.org/0000-0002-0566-8005","observed_orcids":["https://orcid.org/0000-0002-0566-8005"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Andrew Shaw","raw_affiliation_strings":["Neurological Surgery, Lyerly Neurosurgery, Jacksonville, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Neurological Surgery, Lyerly Neurosurgery, Jacksonville, USA","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5103897513","display_name":"Rick C. Sasso","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210152401","display_name":"Indiana Spine Group","ror":"https://ror.org/04t180b28","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210152401"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Rick C Sasso","raw_affiliation_strings":["Orthopaedic Surgery, Indiana Spine Center, Carmel, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Orthopaedic Surgery, Indiana Spine Center, Carmel, USA","institution_ids":["https://openalex.org/I4210152401"]}]},{"author_position":"middle","author":{"id":null,"display_name":"Ali Araghi","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210103869","display_name":"The Core Institute","ror":"https://ror.org/01bxb2y87","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210103869"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Ali Araghi","raw_affiliation_strings":["Spine Surgery, The CORE Institute, Sun City West, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Spine Surgery, The CORE Institute, Sun City West, USA","institution_ids":["https://openalex.org/I4210103869"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5113530055","display_name":"Blake N. Staub","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210143411","display_name":"Texas Back Institute","ror":"https://ror.org/04aw6vq52","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210143411"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Blake Staub","raw_affiliation_strings":["Orthopaedics, Texas Back Institute, Plano, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Orthopaedics, Texas Back Institute, Plano, USA","institution_ids":["https://openalex.org/I4210143411"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5018965191","display_name":"Selby G. Chen","orcid":"https://orcid.org/0000-0003-0293-4272","observed_orcids":["https://orcid.org/0000-0003-0293-4272"]},"institutions":[{"id":"https://openalex.org/I1330342723","display_name":"Mayo Clinic","ror":"https://ror.org/02qp3tb03","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1330342723"]},{"id":"https://openalex.org/I4210146710","display_name":"Mayo Clinic in Florida","ror":"https://ror.org/03zzw1w08","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1330342723","https://openalex.org/I4210146710"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Selby Chen","raw_affiliation_strings":["Neurosurgery, Mayo Clinic, Jacksonville, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Neurosurgery, Mayo Clinic, Jacksonville, USA","institution_ids":["https://openalex.org/I1330342723","https://openalex.org/I4210146710"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5042496636","display_name":"Laura C. Shum","orcid":"https://orcid.org/0000-0002-0167-4133","observed_orcids":["https://orcid.org/0000-0002-0167-4133"]},"institutions":[],"countries":[],"is_corresponding":true,"raw_author_name":"Laura C Shum","raw_affiliation_strings":["Evidence, Telos Partners, LLC, Milford, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Evidence, Telos Partners, LLC, Milford, USA","institution_ids":[]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5041165826","display_name":"Michael J. Musacchio","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I1339509835","display_name":"Endeavor Health","ror":"https://ror.org/04tpp9d61","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1339509835"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Michael Musacchio","raw_affiliation_strings":["Orthopaedics, North Shore University Health System, Evanston, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Orthopaedics, North Shore University Health System, Evanston, USA","institution_ids":["https://openalex.org/I1339509835"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":12,"corresponding_author_ids":["https://openalex.org/A5042496636"],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":1.0651,"has_fulltext":true,"cited_by_count":4,"citation_normalized_percentile":{"value":0.72971415,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":89,"max":97},"biblio":{"volume":"15","issue":"6","first_page":"e40195","last_page":"e40195"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10238","display_name":"Spine and Intervertebral Disc Pathology","score":0.9965999722480774,"subfield":{"id":"https://openalex.org/subfields/2732","display_name":"Orthopedics and Sports Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10238","display_name":"Spine and Intervertebral Disc Pathology","score":0.9965999722480774,"subfield":{"id":"https://openalex.org/subfields/2732","display_name":"Orthopedics and Sports Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11518","display_name":"Cervical and Thoracic Myelopathy","score":0.0020000000949949026,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10084","display_name":"Musculoskeletal pain and rehabilitation","score":0.00039999998989515007,"subfield":{"id":"https://openalex.org/subfields/3612","display_name":"Physical Therapy, Sports Therapy and Rehabilitation"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/lumbar-discectomy","display_name":"lumbar discectomy","score":0.9850000143051147},{"id":"https://openalex.org/keywords/annular-defect","display_name":"annular defect","score":0.7720000147819519},{"id":"https://openalex.org/keywords/reoperation","display_name":"reoperation","score":0.7720000147819519},{"id":"https://openalex.org/keywords/post-market-study","display_name":"post-market study","score":0.6439999938011169},{"id":"https://openalex.org/keywords/patient-reported-outcomes","display_name":"patient-reported outcomes","score":0.6589999794960022},{"id":"https://openalex.org/keywords/quality-of-life","display_name":"quality of life","score":0.8130000233650208},{"id":"https://openalex.org/keywords/low-back-pain","display_name":"low back pain","score":0.7120000123977661},{"id":"https://openalex.org/keywords/disability","display_name":"disability","score":0.39500001072883606},{"id":"https://openalex.org/keywords/serious-adverse-events","display_name":"serious adverse events","score":0.9129999876022339},{"id":"https://openalex.org/keywords/spinal-fusion-avoidance","display_name":"spinal fusion avoidance","score":0.36399999260902405},{"id":"https://openalex.org/keywords/device-safety-and-efficacy","display_name":"device safety and efficacy","score":0.42100000381469727},{"id":"https://openalex.org/keywords/one-year-outcomes","display_name":"one-year outcomes","score":0.4880000054836273}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9515003561973572},{"id":"https://openalex.org/C2776008035","wikidata":"https://www.wikidata.org/wiki/Q3029776","display_name":"Discectomy","level":3,"score":0.8578351140022278},{"id":"https://openalex.org/C168563851","wikidata":"https://www.wikidata.org/wiki/Q1436668","display_name":"Randomized controlled trial","level":2,"score":0.7184456586837769},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.6154941916465759},{"id":"https://openalex.org/C2908647359","wikidata":"https://www.wikidata.org/wiki/Q2625603","display_name":"Population","level":2,"score":0.509674072265625},{"id":"https://openalex.org/C3018239782","wikidata":"https://www.wikidata.org/wiki/Q502781","display_name":"Intervertebral disk","level":3,"score":0.4356302320957184},{"id":"https://openalex.org/C44575665","wikidata":"https://www.wikidata.org/wiki/Q1293405","display_name":"Lumbar","level":2,"score":0.3833055794239044},{"id":"https://openalex.org/C99454951","wikidata":"https://www.wikidata.org/wiki/Q932068","display_name":"Environmental health","level":1,"score":0.0}],"mesh":[],"locations_count":3,"locations":[{"id":"doi:10.7759/cureus.40195","doi":"https://doi.org/10.7759/cureus.40195","is_oa":true,"landing_page_url":"https://doi.org/10.7759/cureus.40195","pdf_url":"https://assets.cureus.com/uploads/original_article/pdf/157269/20230613-11340-1i46y0y.pdf","source":{"id":"https://openalex.org/S2738950867","display_name":"Cureus","issn_l":"2168-8184","issn":["2168-8184"],"is_oa":true,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","poland-20","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310316779","host_organization_name":"Cureus, Inc.","host_organization_lineage":["https://openalex.org/P4310316779"],"host_organization_lineage_names":["Cureus, Inc."],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Cureus","raw_type":"journal-article"},{"id":"pmh:oai:pubmedcentral.nih.gov:10263173","doi":null,"is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/10263173","pdf_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC10263173/pdf/cureus-0015-00000040195.pdf","source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Cureus","raw_type":"Text"},{"id":"pmid:37325689","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/37325689","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Cureus","raw_type":"Journal Article"}],"best_oa_location":{"id":"doi:10.7759/cureus.40195","doi":"https://doi.org/10.7759/cureus.40195","is_oa":true,"landing_page_url":"https://doi.org/10.7759/cureus.40195","pdf_url":"https://assets.cureus.com/uploads/original_article/pdf/157269/20230613-11340-1i46y0y.pdf","source":{"id":"https://openalex.org/S2738950867","display_name":"Cureus","issn_l":"2168-8184","issn":["2168-8184"],"is_oa":true,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","poland-20","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310316779","host_organization_name":"Cureus, Inc.","host_organization_lineage":["https://openalex.org/P4310316779"],"host_organization_lineage_names":["Cureus, Inc."],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Cureus","raw_type":"journal-article"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being","score":1.0}],"study_designs":[{"id":"https://openalex.org/study-designs/clinical-trial","display_name":"Clinical Trial"}],"awards":[],"funders":[],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W4379979907.pdf","grobid_xml":"https://content.openalex.org/works/W4379979907.grobid-xml"},"referenced_works_count":22,"referenced_works":["https://openalex.org/W1531353720","https://openalex.org/W1539664312","https://openalex.org/W1911853268","https://openalex.org/W1997350554","https://openalex.org/W1999003876","https://openalex.org/W2091915819","https://openalex.org/W2094528068","https://openalex.org/W2142494542","https://openalex.org/W2327666448","https://openalex.org/W2487793076","https://openalex.org/W2517385036","https://openalex.org/W2769162765","https://openalex.org/W2781482076","https://openalex.org/W2792000327","https://openalex.org/W2800521673","https://openalex.org/W2804635356","https://openalex.org/W2949977729","https://openalex.org/W2970690931","https://openalex.org/W2987047588","https://openalex.org/W4200282231","https://openalex.org/W4200566057","https://openalex.org/W4295355124"],"related_works":["https://openalex.org/W2945430857","https://openalex.org/W2987047588","https://openalex.org/W2800521673","https://openalex.org/W7151787069","https://openalex.org/W2765267334","https://openalex.org/W4200566057","https://openalex.org/W2971481242","https://openalex.org/W4297991496","https://openalex.org/W2956416058","https://openalex.org/W2951852595"],"abstract_inverted_index":{"BACKGROUND:":[0],"Reherniation":[1],"rates":[2,352,372],"following":[3],"lumbar":[4,235],"discectomy":[5,48,69,121,139,147,209,217],"are":[6],"low":[7],"for":[8],"most":[9],"patients;":[10],"however,":[11],"patients":[12,116,131,188,207,215,240,347],"with":[13,61,123,140,219,348],"a":[14,22,31,41,124],"large":[15,349],"defect":[16],"in":[17,106,133,249,277,283,300,306,319,328,346],"the":[18,38,51,84,94,97,107,134,202,231,250,263,266,278,284,288,291,301,307,320,364,366],"annulus":[19],"fibrosis":[20],"have":[21],"significantly":[23,247],"higher":[24],"risk":[25,52,292],"of":[26,40,53,74,86,96,170,179,184,230,239,269,293,331,336,343,353,373,379],"recurrence.":[27],"Previous":[28],"results":[29,95],"from":[30],"randomized":[32],"controlled":[33,79],"trial":[34],"(RCT)":[35],"demonstrated":[36,370],"that":[37,99],"implantation":[39],"bone-anchored":[42,125,344],"annular":[43,350],"closure":[44],"device":[45,158,316],"(ACD)":[46],"during":[47,89],"surgery":[49,122,210,218],"lowered":[50],"symptomatic":[54,171,270,354],"reherniation":[55,172,243,271,374],"and":[56,91,160,176,182,198,213,256,281,304,322,334,357,377],"reoperation":[57,245,294,376],"over":[58],"one":[59],"year":[60],"fewer":[62],"serious":[63],"adverse":[64],"events":[65],"(SAEs)":[66],"compared":[67,253,274,297],"to":[68,82,92,102,254,275,298,363],"alone.":[70],"OBJECTIVE:":[71],"The":[72,127,237],"objective":[73],"this":[75,112,340],"prospective,":[76],"post-market,":[77],"historically":[78],"study":[80,136,342,369],"was":[81,100,130,246,272,295],"evaluate":[83],"use":[85],"an":[87,141,220],"ACD":[88,142,190,221,251,264,289,345,368],"discectomy,":[90],"confirm":[93],"RCT":[98,135],"used":[101],"establish":[103],"regulatory":[104],"approval":[105],"United":[108],"States.":[109],"METHODS:":[110],"In":[111,201,262,287,339],"post-market":[113,341,367],"study,":[114,265],"all":[115,360],"(N":[117,143,149],"=":[118,144,150],"55)":[119],"received":[120,189],"ACD.":[126],"comparison":[128],"population":[129,233],"enrolled":[132],"who":[137,241],"had":[138,208,216],"262)":[145],"or":[146,173,315],"alone":[148,211],"272).":[151],"All":[152],"other":[153],"eligibility":[154],"criteria,":[155],"surgical":[156],"technique,":[157],"characteristics,":[159],"follow-up":[161],"methodology":[162],"were":[163,228,311,324,359],"comparable":[164],"between":[165,195],"studies.":[166],"Endpoints":[167],"included":[168],"rate":[169,268],"reoperation,":[174,356],"SAEs,":[175],"patient-reported":[177,329],"measures":[178,330,378],"disability,":[180,332],"pain,":[181,333],"quality":[183,335],"life.":[185,337],"RESULTS:":[186],"Fifty-five":[187],"implants":[191],"at":[192],"12":[193],"sites":[194],"May":[196],"2020":[197],"February":[199],"2021.":[200],"previous":[203],"RCT,":[204,365],"272":[205],"control":[206],"(RCT-Control),":[212],"262":[214],"implant":[222],"(RCT-ACD).":[223],"Baseline":[224],"characteristics":[225],"across":[226],"groups":[227,258],"typical":[229],"overall":[232],"undergoing":[234],"discectomy.":[236],"proportion":[238],"experienced":[242],"and/or":[244,375],"lower":[248,371],"group":[252,280,303],"RCT-ACD":[255,279,302],"RCT-Control":[257,285,308],"(p":[259],"<":[260],"0.05).":[261],"one-year":[267,382],"3.7%,":[273],"8.5%":[276],"17.0%":[282],"group.":[286,309],"group,":[290],"5.5%,":[296],"6.5%":[299],"12.5%":[305],"There":[310],"no":[312],"device-related":[313],"SAEs":[314,358],"integrity":[317],"failures":[318],"ACD,":[321],"there":[323],"clinically":[325],"meaningful":[326],"improvements":[327],"CONCLUSION:":[338],"defects,":[351],"reherniation,":[355],"low.":[361],"Compared":[362],"back":[380],"pain":[381],"post-surgery.":[383]},"counts_by_year":[{"year":2026,"cited_by_count":2},{"year":2025,"cited_by_count":1},{"year":2024,"cited_by_count":1}],"updated_date":"2026-11-04T10:54:05.112534","created_date":"2023-06-10T00:00:00"}
