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| The effect of CT-guided low temperature plasma fiber ring plasty in cervical discogenic neck and shoulder pain |
| HE Liangliang NI Jiaxiang CAO Guoqing GUO Yu′na YANG Liqiang▲ |
| Department of Pain Management, Xuanwu Hospital, Capital Medical University, Beijing 100053, China |
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Abstract Objective To evaluate the effect of CT-guided low temperature plasma fiber ring plasty in cervical discogenic neck and shoulder pain. Methods From May 2016 to May 2017, 16 patients suffering cervical discogenic neck and shoulder pain in Xuanwu Hospital, Capital Medical University were selected. The pain visual analogue scale (VAS) scores were recorded before surgery, and 1 week, 1 month, 3 months, 6 months after the surgery. The efficacy was evaluated according to Macnab standard 3 months after surgery. Adverse effects were recorded. Results Compared with before the surgery, the pain VAS score obviously decreased 1 week, 1 month, 3 months and 6 months after surgery (P < 0.05), and no differences were observed at different time points after surgery (P > 0.05). According to Macnab standard, the count of excellent, good, average and bad was 8, 5, 2, 1. The percent of excellent and good was 81.2%. No adverse effect was recorded. Conclusion The low temperature plasma fiber ring plasty in cervical discogenic neck and shoulder pain is safe and effective, which is worthy of extension.
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[1] Geiss A，Larsson K，Rydevik B，et al. Autoimmune properties of nucleus pulposus：an experimental study in pigs [J]. Spine，2007，32（2）：168-173.
[2] 徐梅玲，张育珠.颈椎间盘突出症患者应用低温等离子消融术治疗的临床效果[J].山西医药杂志，2016，45（24）：2927-2930.
[3] Manchikanti L，Soin A，Benyamin RM，et al. An update of the systematic appraisal of the accuracy and utility of discography in chronic spinal pain [J]. Pain Physician，2018， 21（2）：91-110.
[4] Yu Y，Mao H，Li JS，et al. Ranges of cervical intervertebral disc deformation during an in vivo dynamic flexion-extension of the neck [J]. J Biomech Eng，2017，139（6）：11-17.
[5] Yang L，Yang C，Pang X，et al. Mechanoreceptors in diseased cervical intervertebral disc and vertigo [J]. Spine，2017，42（8）：540-546.
[6] Kasch R，Mensel B，Schmidt F，et al. Disc volume reduction with percutaneous nucleoplasty in animal model [J]. PLoS One，2012，7（11）：e60211.
[7] Chen YC，Lee SH，Chen D. Intradiscal pressure study of percutaneous disc decompression with nucleoplasty in human cadavers [J]. Spine，2003，28（7）：661-665.
[8] O′Neil CW，Liu JJ，Leibenberg E，et al. Percutaneous plasma decompression alters cytokine expression in injured porcine intervertebral discs [J]. Spine J，2004，4（1）：88-98.
[9] Al-Zain F，Lemcke JT，Meier U，et al. Minimally invasive spinal surgery using nucleoplasty：a 1-year follow-up study [J]. Acta Neurochir，2008，150（12）：1257-1262.
[10] Kim MK，Sim SE，Kim YC，et al. Predictive factors of successful percutaneous cervical nucleoplasty for the treatment of pain with cervical herniated disk [J]. World Neurosurg，2018，114：654-662.
[11] Bonaldi G，Baruzzi FA，Fachinetti P，et al. Plasma radio-frequency-based diskectomy for treatment of cervical herniated nucleus pulposus：feasibility，safety，and preliminary clinical results [J]. Ajnr Am J Neuroradiol，2006， 27（10）：2104-2111.
[12] 贺永进，姜学文，杜洪印.低温等离子射频盘内髓核消融术联合胶原酶盘外溶解术治疗颈椎间盘突出症的效果[J].中华麻醉学杂志，2011，31（9）：1042-1044.
[13] Abrishamkar S，Salimi S，Pirmoradi H. Comparison the postoperation results of discectomy with nucleoplasty in single cervical disc herniation [J]. Adv Biomed Res，2018， 7（1）：29.
[14] Sainoh T，Sakuma Y，Miyagi M，et al. Efficacy of anti-nerve growth factor therapy for discogenic neck pain in rats [J]. Spine，2014，39（13）：E757-E762.
[15] De Rooij JD，Gadjradj PS，Js SVH，et al. Percutaneous nucleoplasty for the treatment of a contained cervical disk herniation [J]. Clin Spine Surg，2017，30（9）：389-391.
[16] Santana Pineda MM，Vanlinthout LE，Moreno MA，et al. Analgesic effect and functional improvement caused by radiofrequency treatment of genicular nerves in patients with advanced osteoarthritis of the knee until 1 year following treatment [J]. Reg Anesth Pain Med，2017，42（1）：62-68.
[17] Grubb SA，Kelly CK. Cervical discography：clinical implications from 12 years of experience [J]. Spine，2000， 25（11）：1382-1389.
[18] Curatolo M，Bogduk N. Diagnostic blocks for chrock pain [J]. Scand J Pain，2017，1（4）：186-192.
[19] Slipman CW，Plastaras C，Patel R，et al. Provocative cervical discography symptom mapping [J]. Spine J，2005，5（4）：381-388.
[20] Nordin M，Randhawa K，Torres P，et al. The global spine care initiative：a systematic review for the assessment of spine-related complaints in populations with limited resources and in low- and middle-income communities [J]. Eur Spine J，2018，28（2）：1. |
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