Godoil Spine and Pain Hospital, Seoul, Korea.
J Korean Med Sci. 2013 Mar;28(3):461-5. doi: 10.3346/jkms.2013.28.3.461. Epub 2013 Mar 4.
Cervical disc herniation is a common disorder characterized by neck pain radiating to the arm and fingers as determined by the affected dermatome. This condition has a favorable prognosis, but pain can have a serious detrimental impact on daily activities. Epidural neuroplasty has been applied as a treatment option for cervical disc herniation; however, no study has addressed the clinical outcomes. This retrospective study evaluated the clinical outcomes of epidural neuroplasty on 128 patients for the treatment of cervical disc herniation. To measure pain-related disabilities over time, the changes of pain scores in neck and arm were evaluated using a numerical rating scale (NRS) and the neck disability index (NDI). Compared with preprocedural values, the pain NRS of neck and arm demonstrated significant improvement at day 1, and 1, 3, 6, and 12 months after the procedure (P < 0.001). Likewise, the NDI was significantly reduced at 3, 6, and 12 months after the procedure (P < 0.001). There were no serious complications. Cervical epidural neuroplasty shows good clinical outcomes in the treatment of cervical disc herniation and can be considered a treatment modality for cervical disc herniation refractory to conservative treatment.
颈椎间盘突出症是一种常见疾病，其特征为颈部疼痛放射至手臂和手指，这是由受影响的皮节决定的。这种情况预后良好，但疼痛会对日常活动产生严重的不利影响。硬膜外神经松解术已被应用于颈椎间盘突出症的治疗选择中；然而，目前尚无研究探讨其临床疗效。本回顾性研究评估了 128 例硬膜外神经松解术治疗颈椎间盘突出症的临床疗效。为了评估疼痛相关残疾随时间的变化，使用数字评分量表（NRS）和颈部残疾指数（NDI）评估颈部和手臂疼痛评分的变化。与术前值相比，术后 1 天、1 个月、3 个月、6 个月和 12 个月时颈部和手臂的疼痛 NRS 均显著改善（P < 0.001）。同样，术后 3 个月、6 个月和 12 个月时 NDI 也显著降低（P < 0.001）。无严重并发症发生。颈椎硬膜外神经松解术在治疗颈椎间盘突出症方面显示出良好的临床疗效，可考虑作为治疗保守治疗无效的颈椎间盘突出症的一种方法。
