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Efficacy of coblation annuloplasty combined with nucleoplasty in cervical discogenic and radicular pain

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机构: [1]Department of Pain Management, Xuanwu Hospital, Capital Medical University, Beijing, China.
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关键词: Cervical disc herniation discogenic pain radicular pain coblation nucleoplasty annuloplasty thermal annular therapy

摘要:
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.

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出版当年[2016]版:
大类 | 4 区 医学
小类 | 4 区 医学:研究与实验
最新[2023]版:
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出版当年[2015]版:
Q4 MEDICINE, RESEARCH & EXPERIMENTAL
最新[2023]版:
Q4 MEDICINE, RESEARCH & EXPERIMENTAL

影响因子: 最新[2023版] 最新五年平均 出版当年[2015版] 出版当年五年平均 出版前一年[2014版] 出版后一年[2016版]

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第一作者机构: [1]Department of Pain Management, Xuanwu Hospital, Capital Medical University, Beijing, China.
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通讯机构: [*1]Department of Pain Management, Xuanwu Hospital, Capital Medical University, 45 Changchun Street, Xicheng District, Beijing 100053, China.
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