Evidence map›Paper›PMID 39648196›Full record

Trial reportEuropean spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society2025

A new hernia blocking system to prevent recurrent lumbar disc herniation: surgical technique, intraoperative findings and six-months post-operative outcomes.

Oscar Godino, Carlos Fernandez-Carballal, Ignasi Català, Ángela Moreno, Jordi Manuel Rimbau, Luís Alvarez-Galovich, Héctor Roldan

Registry-linked trialAbstract readClinical TrialMulticenter Study
PubMed Publisher
In one paragraph

Trial report in European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04188236 (A Multi-center, Prospective Study to Evaluate the Safety and Performance of a Hernia Blocking System to Prevent Recurrent Lumbar Disc Herniation), which is not on this map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04188236 nacompletednot on this map

A Multi-center, Prospective Study to Evaluate the Safety and Performance of a Hernia Blocking System to Prevent Recurrent Lumbar Disc Herniation

TypeinterventionalSponsorNEOS SurgeryRan2019 to 2023Enrolled30ConditionsDisk Herniated LumbarArmsHernia Blocking System
3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. Letter to the Editor concerning "Risk factors for recurrent lumbar disc herniation after percutaneous endoscopic lumbar discectomy: roles of spinopelvic parameters and facet joint degeneration" by Xiangdong Gong, et al. (Eur Spine J [2026]; doi: 10.1007/s00586-026-10111-2).European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2026
    Review
  2. Article
  3. Review
  4. Article
  5. Letter to the editor concerning "A new hernia blocking system to prevent recurrent lumbar disc herniation: surgical technique, intraoperative findings and six-months post-operative outcomes" by O. Godino et al., (Eur Spine J [2024]: doi.org/10.1007/s00586-024-08595-x).European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2025
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Oscar GodinoNeurosurgery Department, Hospital Universitari de Bellvitge, L'Hospitalet de Llobregat, Barcelona, Spain. ogodino@bellvitgehospital.cat.ORCID 0000-0002-1004-6366
Carlos Fernandez-CarballalNeurosurgery Department, Hospital General Universitario Gregorio Marañón, Madrid, Spain.ORCID 0000-0003-2389-1101
Ignasi CatalàInstituto Clavel, Hospital QuirónSalud Barcelona, Barcelona, Spain.ORCID 0000-0003-1618-8805
Ángela MorenoNeurosurgery Department, Hospital General Universitario Gregorio Marañón, Madrid, Spain.
Jordi Manuel RimbauNeurosurgery Department, Hospital Universitari Germans Trias i Pujol, Badalona, Barcelona, Spain.
Luís Alvarez-GalovichSpine Unit, Hospital Universitario Fundación Jiménez Díaz, Madrid, Spain.ORCID 0000-0002-0673-7439
Héctor RoldanNeurosurgery Department, Hospital Universitario de Canarias, La Laguna, Santa Cruz de Tenerife, Spain.

Funding

Horizon 2020 967831
6 · The paper itself

Abstract

purposeThe aim of this study was to evaluate the performance and safety of a new hernia blocking system (HBS), implanted after a limited discectomy, to prevent recurrence of lumbar disc herniation.

methodsProspective, multicenter (6 sites), cohort clinical investigation. Thirty patients with a postero-lateral disc herniation between L4-S1 and large annular defects (> 6 mm wide), who underwent a limited discectomy and were treated with a new HBS (DISC care, NEOS Surgery S.L.), were included. This article presents details about the investigational device, its surgical technique, intraoperative parameters, and up to 6 months follow-up outcomes. The primary endpoint of the study was to assess the incidence of early symptomatic reherniation. In addition, disc height, leg and back pain (NRS 0-10), Oswestry Disability Index (ODI), quality of life (EQ-5D-5L) and device safety, were evaluated. CLINICALTRIALS: gov: NCT04188236; date: 27th November 2019.

resultsThirty patients (43.3% female, 41.7 ± 10.9 years) were implanted with the device under evaluation in a mean of 16 ± 9.6 min. Six months after surgery, no symptomatic reherniation was detected and disc height was maintained in all patients included. All patients had a significant reduction in leg pain (> 2 points in the NRS), 92.9% improved > 15 points in the ODI and 82.6% significantly improved their quality of life (≥ 12 points in EQ VAS score). No product-related serious adverse events nor reoperations occurred.

conclusionsThe implantation of an HBS is a feasible and safe procedure that prevents early disc herniation recurrence in patients at high risk of reherniation.

Indexed as

DiskectomyIntervertebral Disc DisplacementLumbar VertebraeSecondary PreventionAdultFemaleHumansMaleMiddle AgedProspective StudiesRecurrenceTreatment OutcomeDiscectomyIntervertebral disc displacementLow back painLumbar vertebraeSciaticaSpine

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.