Hu Jun, Wang Zi, Guo Yuyu, Han Liuhu, Chen Liyang, Wang Likui
Department of Pain Medicine, The Frist Affiliated Hospital of Anhui Medical University, 218 Jixi Road, Hefei, Anhui, 230022, China.
Department of Anesthesiology and Pain Research Center, The First Affiliated Hospital of Jiaxing University, Jiaxing, Zhejiang, China.
BMC Anesthesiol. 2025 Apr 10;25(1):164. doi: 10.1186/s12871-025-03047-5.
Cervical radicular pain (CRP) is a common disorder among adults. Minimally invasive surgical techniques, such as posterior percutaneous endoscopic cervical discectomy (PPECD) and percutaneous cervical nucleoplasty (PCN) are considered when conservative treatment fails to contain severe persistent pain. Our retrospective study evaluated the clinical outcomes of CRP in patients treated with PPECD and PCN.
Between May 2019 and June 2021, 67 patients with CRP, due to single-level contained soft-disc herniation, were treated with either PPECD or PCN. Clinical outcomes were assessed by the numerical rating scale (NRS), Neck Disability Index (NDI), and modified Macnab criteria. Pre- and postoperative clinical parameters were also compared.
Compared with the preoperative values, the mean NRS scores for radicular arm pain and NDI score improved significantly with both treatments. According to the Macnab criteria, patients with PPECD (82.9%) had a higher clinical success rate than patients with PCN (75.0%), however, this difference was not statistically significant (P = 0.5508). No major complications were observed in any patients.
Both PPECD and PCN are effective and safe options for CRP patients with persistent, and severe pain. Given the absence of superiority in pain relief and clinical outcomes with PPECD, we suggest that the shorter operation time and the less invasive features of PCN is an alternative to PPECD in patients with single-level contained soft-disc herniation.
Not applicable.
颈神经根性疼痛（CRP）是成年人中的常见病症。当保守治疗无法控制严重的持续性疼痛时，可考虑采用微创外科技术，如后路经皮内镜下颈椎间盘切除术（PPECD）和经皮颈椎间盘成形术（PCN）。我们的回顾性研究评估了接受PPECD和PCN治疗的CRP患者的临床疗效。
在2019年5月至2021年6月期间，67例因单节段软性椎间盘突出症导致CRP的患者接受了PPECD或PCN治疗。通过数字评分量表（NRS）、颈部功能障碍指数（NDI）和改良Macnab标准评估临床疗效。还比较了术前和术后的临床参数。
与术前值相比，两种治疗方法的神经根性上肢疼痛平均NRS评分和NDI评分均有显著改善。根据Macnab标准，接受PPECD治疗的患者（82.9%）的临床成功率高于接受PCN治疗的患者（75.0%），然而，这种差异无统计学意义（P = 0.5508）。所有患者均未观察到重大并发症。
对于患有持续性严重疼痛的CRP患者，PPECD和PCN都是有效且安全的选择。鉴于PPECD在缓解疼痛和临床疗效方面没有优势，我们建议对于单节段软性椎间盘突出症患者，PCN较短的手术时间和较小的侵入性可作为PPECD的替代方案。
不适用。
