Dataset Information

Analysis of the clinical and radiological outcomes of percutaneous cervical nucleoplasty: A case-control study.

ABSTRACT:

Background

Percutaneous cervical nucleoplasty (PCN) is a simple, safe, and effective treatment for contained cervical herniated intervertebral disc (CHIVD). However, few studies have compared the actual benefits of PCN against conservative treatment (CT), either clinically or radiographically.

Purpose

The present study sought to analyze and to compare the outcomes of symptomatic contained CHIVD treated with PCN or CT.

Methods

The present study was designed as a case-control comparative study. Patients who indicated for PCN after a failed CT for more than 6 months were recruited. After the exclusion of some patients who did not meet the selection criteria of the study, we finally enrolled 71 patients treated with PCN. In addition, another 21 patients who indicated for PCN but finally chose to receive CT continuously were also enrolled and categorized as the control group. All patients completed the 6-month follow-up. Pain levels and functional outcomes were evaluated pre- and post-operatively by assessing the visual analog scale (VAS), Oswestry Disability Index (ODI), and Neck Disability Index (NDI). Radiographic images of 72 of 104 intervened segments were collected to measure disc height and other cervical spinal alignments, such as range of motion, C2-7 Cobb's angle, and C2-7 sagittal vertical axis.

Results

Compared with the CT group, the PCN group showed significantly better outcomes on VAS, ODI, and NDI at the 1-month post-operative follow-up, which continued through at least the 6-month follow-up (P < 0.01 for VAS and P < 0.05 for ODI and NDI). The mean disc height significantly decreased, from 6.04 ± 0.85 mm to 5.76 ± 1.02 mm, 3 months after PCN treatment (P = 0.003). However, the degree of disc height decrease did not correlate with the changes of the substantial VAS improvement.

Conclusions

To provide therapeutic benefits for symptomatic contained CHIVD patients after an invalid CT for 6 months, PCN seems to be a better option than CT. The reduced disc heights did not alter the clinical outcomes of PCN.

SUBMITTER: Chen CH

PROVIDER: S-EPMC9744319 | biostudies-literature | 2022

REPOSITORIES: biostudies-literature

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Publications

Analysis of the clinical and radiological outcomes of percutaneous cervical nucleoplasty: A case-control study.

Chen Chien-Hua CH Chiu You-Pen YP Ji Hui-Ru HR Wu Chin-Ying CY Guo Jeng-Hung JH Jaw Fu-Shan FS Chiu Cheng-Di CD

PloS one 20221212 12

<h4>Background</h4>Percutaneous cervical nucleoplasty (PCN) is a simple, safe, and effective treatment for contained cervical herniated intervertebral disc (CHIVD). However, few studies have compared the actual benefits of PCN against conservative treatment (CT), either clinically or radiographically.<h4>Purpose</h4>The present study sought to analyze and to compare the outcomes of symptomatic contained CHIVD treated with PCN or CT.<h4>Methods</h4>The present study was designed as a case-control ...[more]

PMID: 36508407

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Dataset Information

Analysis of the clinical and radiological outcomes of percutaneous cervical nucleoplasty: A case-control study.

Background

Purpose

Methods

Results

Conclusions

Publications

Analysis of the clinical and radiological outcomes of percutaneous cervical nucleoplasty: A case-control study.

Similar Datasets

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