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| Analysis of the distribution of cervical discogenic pain induced by low-temperature plasma gasification ablation |
| HE Liangliang NI Jiaxiang CAO Guoqing GUO Yu′na YANG Liqiang▲ |
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Abstract Objective To investigate the distribution of cervical discogenic pain through the method of low-temperature plasma gasification ablation technology to induce pain. Methods From June to November 2018, 30 patients with cervical discogenic pain underwent CT-guided low-temperature plasma intervertebral disc gasification ablation in Department of Pain of Xuanwu Hospital, Capital Medical University were selected as research objects. During the operation, the pain-inducing region was recorded by the schematic diagram of the digital coding region of human body. Results The intervertebral disc segments of low-temperature plasma gasification ablation included 14 cases of C4-C5, 17 cases of C5-C6, and 5 cases of C6-C7, among which, the pain areas induced by C4-C5, C5-C6, and C6-C7 intervertebral disc included the cervical and shoulder junction, the posterior upper part of the trapquadratus, the scapula, the interscapula, the chest, and the posterior shoulder. The pain areas induced by C4-C5 intervertebral disc were inclined to the cephalic side, including the forehead, ears, posterior occipital, suboccipital and posterior cervical areas. The pain areas induced by C5-C6 intervertebral disc included posterior, anterior, cervico-shoulder junction, posterior and upper part of the trapezius, scapula, interscapula, chest, posterior shoulder, upper arm, forearm and thorax. The pain areas induced by C6-C7 intervertebral disc were inclined to the side of the foot, including the upper arm, forearm and thoracodorsal areas. Conclusion The distribution of cervical discogenic pain is regular, with overlap, limitation, direction and sequence.
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