Efficacy of temperature-controlled plasma radiofrequency ablation against nervous root type cervical spondylosis and its correlation with string-arcing distance

LIU Meichen; YE Chao; KANG Shengqian; DAI Shuang; LU Shuang; WANG Jianjun

PDF(767 KB)

Medical Journal of the Chinese People Armed Police Forces ›› 2020, Vol. 31 ›› Issue (6) : 468-471.

Efficacy of temperature-controlled plasma radiofrequency ablation against nervous root type cervical spondylosis and its correlation with string-arcing distance

LIU Meichen, YE Chao, KANG Shengqian, DAI Shuang, LU Shuang, WANG Jianjun

Author information +

History +

Abstract

Objective To investigate the clinical efficacy of temperature-controlled plasma radiofrequency ablation in the treatment of nervous root type cervical spondylosis and its correlations with the string-arcing distance. Methods Thirty-four patients with nervous root type cervical spondylosis were enrolled in this study, whose preoperative string-arcing distance was measured.Temperature-controlled plasma radiofrequency ablation was used for treatment. The visual analogue scale (VAS) and neck dysfunction index (NDI) were used to quantitatively evaluate the therapeutic effect. The patients were asked to fill in the forms according to their own health status the day before surgery, 1 week after surgery, and 1 month after surgery. Results VAS was (7.21±0.687), (3.12±1.225), and (1.94±1.278) at 1 day before surgery, 1 week after surgery, and 1 month after surgery respectively while NDI was (15.79±2.185), (7.85±2.476), and (6.12±3.003) respectively. The VAS and NDI of the patients were lower after treatment, and the difference was statistically significant (P<0.01). There was no clear correlation between the string-arcing distance value and the VAS or NDI(r=0.238; r=0.250). The string-arcing distance was positively correlated with the difference in VAS scores 1 month after surgery and 1 day before surgery,and the correlation was significant(r=0.55,P<0.05). The case was the same with NDI (r=0.384,P<0.05). Conclusions The application of temperature-controlled plasma radiofrequency ablation in the treatment of nervous root type cervical spondylosis has a good and stable effect in terms of pain and daily living functions. It is a safe and effective interventional approach to nervous root type cervical spondylosis.

Key words

nervous root type cervical spondylosis / temperature-controlled plasma radiofrequency ablation / efficacy / string-arcing distance

Cite this article

EndNote

Ris (Procite)

Bibtex

Download Citations

LIU Meichen, YE Chao, KANG Shengqian, DAI Shuang, LU Shuang, WANG Jianjun. Efficacy of temperature-controlled plasma radiofrequency ablation against nervous root type cervical spondylosis and its correlation with string-arcing distance[J]. Medical Journal of the Chinese People Armed Police Forces. 2020, 31(6): 468-471

References

[1] Ryalat N T, Ryalat S A, Mahafza W S, et al. Myelopathy associated with age-related cervical disc herniation: a retrospective review of magnetic resonance images[J]. Ann Saudi Med, 2017, 37(2): 130-137.
[2] 马明,张世民,章永东,等. 伴有上交叉综合征的青年颈型颈椎病患者的颈椎X线检查的初步分析 [J]. 中国骨伤,2019, 32(3): 36-40.
[3] Luo X D, Wang P, Li Z H, et al. Evaluation of a granulated formula for the nerve root type and vertebral artery type of cervical spondylosis:amulticenter,single-blind,randomized,controlled,phase Ⅲ clinical trial[J]. J Tradit Chin Med, 2017, 37(2): 193-200.
[4] 钟灵,冉小烽,高琼. 综合康复训练治疗神经根型颈椎病效果及影响预后的相关因素分析 [J]. 解放军医药杂志,2019, 31(8): 53-56.
[5] Wang K, Deng Z, Wang H, et al. Correlation analysis between position of head,cervical curvature classification and balance of cervical spine through lateral plain radiograph measurement[J]. Zhongguo Gu Shang, 2017, 30(5): 458-462.
[6] Wang X D, Feng M S, Hu Y C. Establishment and finite element analysis of a three-dimensional dynamic model of upper cervical spine instability: F inite E lement of U pper C ervical I nstability[J]. Orthop Surg, 2019, 11(3): 500-509.
[7] 神经根型颈椎病诊疗规范化研究专家组. 2015年神经根型颈椎病诊疗规范化的专家共识 [J]. 中华外科杂志, 2015, 53(11): 812-814.
[8] Xia L, Liu M X, Zhong J, et al. Anterior cervical discectomy and fusion with a compressive staple of C-JAWS[J]. Br J Neurosurg, 2016, 30(6): 649-653.
[9] Lue Y J, Chen C H , Chou S H, et al. Development and validation of Taiwanese version of the neck disability index[J]. Spine, 2018, 43(11): E656-E663.
[10] Fong P L, Chevillotte T, Leglise A, et al. Which parameters are relevant in sagittal balance analysis of the cervical spine a literature review[J]. Eur Spine J, 2018, 27(3): 1-8.
[11] 英吉林,刘高甬,杜亚雷,等. 低温等离子射频消融术结合臭氧注射治疗老年性颈椎病的临床观察 [J]. 颈腰痛杂志, 2018, 39(5): 118-120.
[12] 王礼彬,胡琴琴,李宜红,等. 经皮等离子消融联合盘内小剂量胶原酶注射治疗颈椎间盘突出症 [J]. 中国疼痛医学杂志, 2018, 24(9): 708-710.
[13] 陈劲松,张林,王伟卓. 低温等离子髓核成形术联合针刀治疗颈椎间盘突出症疗效研究 [J]. 陕西医学杂志, 2018, 47(9): 1147-1149.
[14] O'Neill C W, Liu J J, Leibenberg E, et al. Percutaneous plasma decompression alters cytokine expression in injured porcine intervertebral discs[J]. Spine J, 2004, 4(1): 88-98.
[15] 王瑞军,高春华,姜昊,等. 颈椎间盘神经分布的研究进展[J].中华灾害救援医学,2017,5(4):230-234.
[16] 陈德强,杨辉,李奕军,等. 经皮穿刺低温等离子髓核成形术与脉冲射频治疗LIDP的近期临床疗效观察 [J]. 重庆医学, 2019, 48(16): 2864-2866.
[17] Kim S J, Seo J S, Lee S H, et al. Comparison of anterior cervical foraminotomy and posterior cervical foraminotomy for treating single level unilateral cervical radiculopathy[J]. Spine, 2019, 44(19): 1339-1347.
[18] Manoharan S R, Joshi D, Owen M, et al. Relationship of cervical sagittal vertical alignment after sagittal balance correction in adult spinal deformity: a retrospective adiographic study[J].Int J Spine Surg,2018,12(2):269-275.
[19] 谭汶键,冯博闻,胥海斌. 针刺结合定点正骨复位治疗颈椎生理曲度异常临床研究 [J]. 针灸临床杂志, 2019, 35(2):3-6.
[20] Massimiliano M, Andrea B, Marco G, et al. Reliability of the cervical spine device for the assessment of cervical spine range of motion in asymptomatic participants[J]. J Manipulative Physiol Ther, 2018, 41(4): 342-349.