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KMID : 1141120160020020066
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The Nerve
2016 Volume.2 No. 2 p.66 ~ p.70
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The Efficacy of Percutaneous Cervical Nucleoplasty for Cervical Herniated Disc Disease in Patients with Upper Extremities Radiating Pain
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Lim Woo-Jung
Hur Jin-Woo
Ahn Seong-Yeol
Rhee Jong-Joo
Lee Jong-Won
Lee Hyun-Koo
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Abstract
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Objective: Percutaneous cervical nucleoplasty is a minimally invasive intervention used to perform disc decompression in cases of pain caused by disc herniation. Here, we describe the efficacy of nucleoplasty for the treatment of cervical disc herniation in patients with upper extremities radiating pain.
Methods: From March 2015 to March 2016, we performed percutaneous cervical nucleoplasty in 32 consecutive patients and evaluated short-term follow-up results (until three months) after the procedure. Patients were evaluated via neurological examination, and using the visual analogue scale (VAS) before and after the procedure. Patients with motor weakness, myelopathy, and spinal instability were excluded.
Results: The age of patient sample ranged from 30 to 80 years old (mean 52.63), with males outnumbering females by 17 to 15. The procedures were performed at a single level in 30 cases and two levels in two cases. The C5-6 level was the most commonly affected. The mean VAS scores of pre- and postprocedure were 6.91±0.54 and 2.69±0.35, with a statistically significant decrease in the mean VAS score by 4.22±0.91 (p<0.001). The mean VAS score increased from day one to three months postprocedure (p=0.02) but was still significantly lower than the preprocedure mean VAS score. In extrusion cases, the differences in the VAS scores at preprocedure, day one and three months postprocedure were statistically significant (p<0.001).
Conclusion: Percutaneous cervical nucleoplasty can be used as a minimally invasive treatment in patient with cervical herniated disc accompanied with radiating pain, as it is a safe and efficacious procedure.
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KEYWORD
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Diskectomy, Percutaneous, Radiculopathy, Intervertebral disc, Cervical vertebrae
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