ArticleFrontiers in pain research (Lausanne, Switzerland)2025
Clinical and radiological comparison of percutaneous cervical nucleoplasty combined with ultrasound-guided pulsed radiofrequency of cervical nerve root for cervical radicular pain: a retrospective, matched-cohort study.
Article in Frontiers in pain research (Lausanne, Switzerland), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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1 citing paper in PubMed.
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6 authors.
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Abstract
Background: The best treatment yielding clinical benefits was still equivocal and controversial for the treatment of cervical radicular pain (CRP). This study aimed to propose a novel combination strategy of percutaneous cervical nucleoplasty (PCN) and ultrasound-guided pulsed radiofrequency (PRF) of cervical nerve root for CRP, and to compare its therapeutic effects with PRF alone. Methods: 120 CRP patients who satisfied the inclusion requirements between January 2016 and March 2019 were retrospectively analyzed and split into PCN + PRF and PRF groups. The propensity score matching (PSM) technique was used to correct the imbalanced confounding variables between the groups. Then, clinical outcomes including the visual analog scale (VAS) score, Neck Disability Index (NDI) score, clinical assessment scale for cervical spondylosis (CASCS), modified MacNab criteria, radiological parameters, and complications were evaluated. Results: In all, 120 patients were used to calculate the propensity score, producing 26 matched pairs that were monitored for a minimum of a year. When compared to the preoperative data, both groups' neck pain VAS scores, arm pain VAS scores, NDI scores, and CASCS scores saw a significant improvement during the follow-up period ( Conclusion: We present and describe a novel strategy for the combined treatment of CRP in chronic cervical radicular pain using ultrasound-guided percutaneous disc radiofrequency ablation PCN and spinal nerve root pulse radiofrequency PRF, which is both effective and safe throughout the treatment process, reducing pain and improving function.
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