Volume 22 Issue 6
Jun.  2024
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Article Navigation >  Chinese Journal of General Practice  > 2024  >  22(6): 943-946
HU Jun, WANG Zi, GUO Yuyu, HAN Liuhu, CHEN Liyang, WANG Likui. Comparative on the efficacy of percutaneous cervical nucleoplasty and posterior endoscopic cervical discectomy for cervical spondylotic radiculopathy[J]. Chinese Journal of General Practice, 2024, 22(6): 943-946. doi: 10.16766/j.cnki.issn.1674-4152.003540
Citation: HU Jun, WANG Zi, GUO Yuyu, HAN Liuhu, CHEN Liyang, WANG Likui. Comparative on the efficacy of percutaneous cervical nucleoplasty and posterior endoscopic cervical discectomy for cervical spondylotic radiculopathy[J]. Chinese Journal of General Practice, 2024, 22(6): 943-946. doi: 10.16766/j.cnki.issn.1674-4152.003540
shu

Comparative on the efficacy of percutaneous cervical nucleoplasty and posterior endoscopic cervical discectomy for cervical spondylotic radiculopathy

doi: 10.16766/j.cnki.issn.1674-4152.003540

  • Department of Pain Medicine, the Frist Affiliated Hospital of Anhui Medical University, Hefei, Anhui 230022, China

Funds:

 81901086

  • Received Date: 2023-12-09
    Available Online: 2024-07-22
    Abstract
  •   Objective  To explore the clinical effects of percutaneous cervical nucleoplasty (PCN) and posterior percutaneous endoscopic cervical discectomy (PPECD) in the treatment of cervical spondylotic radiculopathy.  Methods  Sixty-seven cases of cervical spondylotic radiculopathy due to a single-level contained soft-disc herniation in the Department of Pain Medicine of the First Affiliated Hospital of Anhui Medical University from May 2019 to June 2021 were selected, and divided into Group PPECD (n=35) and Group PCN (n=32) according to surgical methods. Pain was assessed by VAS scores at multiple time points before and after surgery, and cervical functional recovery was evaluated using the cervical dysfunction index (NDI). The modified MacNab criteria were used to evaluate the surgical efficacy at the final follow-up.  Results  All patients completed the surgery and had complete follow-up data. There was no significant difference in the general preoperative conditions of the two groups of patients. The operation time of PCN treatment [(42.0±6.4) min] was significantly shorter than that of the PPECD group [(94.7±6.3) min, P < 0.001]. Compared with those before surgery, the VAS scores and NDI index of the two groups of patients at each postoperative time were significantly improved (P < 0.05). According to the Macnab standard, the clinical effective rate of patients treated with PPECD (82.9%, 29/35) was higher than that of PCN (75.0%, 24/32), but the difference was not statistically significant (P > 0.05). No serious postoperative complications were observed in either group of patients.  Conclusion  For patients with poor tolerance to surgery, PCN can be a good alternative to PPECD for patients with cervical spondylotic radiculopathy due to a single-level contained soft-disc herniation.

     

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