Synopsis Sciatica is a condition characterized by radiating buttock and leg pain in a lumbar nerve root distribution, which may be accompanied by sensory and motor deficits. The most common cause of sciatica is intervertebral disc herniation. The treatment for sciatica often involves conservative treatment but despite this symptoms persists.

Such patients usually either continue with conservative treatment or undergo surgical removal of herniated disc material for faster relief from symptoms. However, recurrent symptomatic disc herniation is an associated disadvantage The present study compares the implantation of the bone-anchored annular closure device (ACD) with lumbar discectomy after lumbar discectomy for reducing the risk of recurrent herniation. This week’s “ MED FACT ” discusses the randomized clinical trial from The Spine Journal, “ Annular closure in lumbar microdiscectomy for…