devices and methods for fixing defects in the anulus fibrosus of a patient are described . the devices include a mesh patch , and first and second suture assemblies , each of which include an anchor and a suture . the anchor has a first portion adapted to be inserted into a bone and a second portion having an opening therethrough . the suture is adapted to be disposed through the opening and has a first end is adapted to couple to the mesh patch . the method of treatment includes inserting the first portion of the first anchor into a cranial vertebra and inserting the second portion of the second anchor into a caudal vertebra . the first ends of the sutures are attached to the mesh patch . the mesh patch is positioned adjacent the defect by pulling on , or applying tension to , the second ends of the sutures .