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Fig. 5 | BMC Surgery

Fig. 5

From: Incidence and clinical impact of vertebral endplate changes after limited lumbar microdiscectomy and implantation of a bone-anchored annular closure device

Fig. 5

Case report of a patient that underwent LMD and ACD implantation at L4/5 level due to disc herniation. a Preoperative baseline CT: No EPC visible. b One-year follow-up: EPC (0.57 cm3) appear at the lower EP of L4. c 2-year follow-up: EPC (1.15 cm3) progressed at lower EP of L4. d 3-year follow-up: EPC (2.46 cm3) accelerated to a grade 3, with polymer mesh subsidence into lower EP of L4

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