Long-Term Clinical Outcomes of Percutaneous Cervical Nucleoplasty for Cervical Degenerative Diseases with Neck Pain and Cervical Vertigo

Good short- and mid-term clinical efficacy of percutaneous cervical nucleoplasty (PCN) for cervical degenerative diseases (CDD) with neck pain has been reported. However, few studies have assessed its long-term influence in patients with both neck pain and cervical vertigo. This study aimed to evalu...

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Bibliographic Details
Published in:World neurosurgery 2020-01, Vol.133, p.e205-e210
Main Authors: Li, Chungen, Qi, Yingna, Liu, Genzhe, Yin, Xincheng, Jin, Yi, Jiang, Zehui, Li, Pengyang, Kang, Xiaole, Ye, Chao
Format: Article
Language:English
Subjects:
Adult
Aged
Cervical degenerative disc diseases
Cervical Vertebrae - surgery
Cervical vertigo
Diskectomy, Percutaneous - methods
Female
Humans
Intervertebral Disc - surgery
Intervertebral Disc Degeneration - surgery
Male
Middle Aged
Neck pain
Neck Pain - etiology
Neck Pain - surgery
Percutaneous cervical nucleoplasty
Reoperation
Vertigo - etiology
Vertigo - surgery
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Summary:Good short- and mid-term clinical efficacy of percutaneous cervical nucleoplasty (PCN) for cervical degenerative diseases (CDD) with neck pain has been reported. However, few studies have assessed its long-term influence in patients with both neck pain and cervical vertigo. This study aimed to evaluate the curative efficacy of PCN for CDD with neck pain and cervical vertigo with minimum of 6 years of follow-up. Inpatients who underwent PCN for CDD with neck pain and cervical vertigo between April 2010 and March 2013 were enrolled. Clinical outcomes were assessed using the Cervical Vertigo Evaluation Scale (CVES); greater CVES scores reflected less impairment. Additional open surgeries were recorded. Among 40 patients, 100% completed the 1-year short-term and 3-year mid-term follow-up (FU); 85% completed the 6-year long-term FU. Clinical effective rates were 67.5%, 67.5%, and 52.94% at short-, mid-, and long-term FU, respectively. CVES scores were greater than the preoperative CVES scores at all FU timepoints (P  0.05). Reoperation rates were 1/40 (2.50%) and 3/34 (8.82%) at mid- and long-term FU, respectively. PCN in patients with CDD neck pain and cervical vertigo showed satisfactory clinical efficacy at short- and mid-term FU, and it was fair at long-term FU. Thus, PCN could be a complementary operation for CDD.
ISSN:1878-8750
1878-8769
DOI:10.1016/j.wneu.2019.08.210