Background: Cervical discogenic pain and radicular pain often appear concurrently. Discogenic pain can be treated with thermal annular procedures that interrupt annular nociceptors, and radicular pain can be treated by decompression of nerve roots; however, there are no effective therapeutic approaches for treating patients with concurrent discogenic pain and radicular pain. Objective: This study aimed to evaluate the efficacy of coblation annuloplasty combined with nucleoplasty in treating cervical discogenic pain with concurrent radicular pain. Methods: This was a prospective, clinical, observational study of 20 patients with cervical discogenic and radicular pain related to contained disc herniation. Patients received coblation annuloplasty combined with nucleoplasty. Pain was assessed via the visual analogue scale (VAS) (significant pain relief was defined as VAS improvement >= 50%), and functional outcome was assessed using the modified MacNab criteria. All patients had 12 months of follow-up. Results: General, discogenic and radicular VAS scores significantly decreased from respective preoperative values of 7.9 +/- 0.7, 6.2 +/- 1.0 and 7.7 +/- 0.9 to 3.1 +/- 1.1, 2.6 +/- 1.5 and 2.5 +/- 2.0, respectively at 12 months postoperatively. Significant relief of general, discogenic and radicular pain at 12 months postoperatively was reported in 15 (75%), 17 (85%) and 15 (75%) patients, respectively. At postoperative 1, 3, 6 and 12 months, an "excellent" or "good" functional outcome was reported in 16 (80%), 16 (80%), 15 (75%) and 15 (75%) patients, respectively. Conclusions: Coblation annuloplasty combined with nucleoplasty effectively treated patients with cervical discogenic pain and concurrent radicular pain.
基金:
Beijing Municipal Administration of Hospitals Clinical Medicine Development of Special Funding Support, code: ZYLX201507.
第一作者机构:[1]Department of Pain Management, Xuanwu Hospital, Capital Medical University, Beijing, China.
共同第一作者:
通讯作者:
通讯机构:[*1]Department of Pain Management, Xuanwu Hospital, Capital Medical University, 45 Changchun Street, Xicheng District, Beijing 100053, China.
推荐引用方式(GB/T 7714):
Liangliang He,Liqiang Yang,Baishan Wu,et al.Efficacy of coblation annuloplasty combined with nucleoplasty in cervical discogenic and radicular pain[J].INTERNATIONAL JOURNAL OF CLINICAL AND EXPERIMENTAL MEDICINE.2017,10(2):3147-3154.
APA:
Liangliang He,Liqiang Yang,Baishan Wu,Jianning Yue,,Yuna Guo,...&Jiaxiang Ni.(2017).Efficacy of coblation annuloplasty combined with nucleoplasty in cervical discogenic and radicular pain.INTERNATIONAL JOURNAL OF CLINICAL AND EXPERIMENTAL MEDICINE,10,(2)
MLA:
Liangliang He,et al."Efficacy of coblation annuloplasty combined with nucleoplasty in cervical discogenic and radicular pain".INTERNATIONAL JOURNAL OF CLINICAL AND EXPERIMENTAL MEDICINE 10..2(2017):3147-3154