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Radiofrequency Neurotomy of Cervical Medial Branches for Chronic Cervicobrachialgia

Authors
 Woo-Ram Shin  ;  Hyoung-Ihl Kim  ;  Dong-Gyu Shin  ;  Dong-Ah Shin 
Citation
 JOURNAL OF KOREAN MEDICAL SCIENCE, Vol.21(1) : 119-125, 2006 
Journal Title
 JOURNAL OF KOREAN MEDICAL SCIENCE 
ISSN
 1011-8934 
Issue Date
2006
MeSH
Adult ; Aged ; Aged, 80 and over ; Back Pain/etiology ; Back Pain/surgery ; Brachial Plexus/pathology ; Brachial Plexus/surgery* ; Brachial Plexus Neuritis/complications ; Brachial Plexus Neuritis/diagnosis ; Brachial Plexus Neuritis/surgery* ; Chronic Disease ; Electrosurgery/methods ; Female ; Humans ; Male ; Middle Aged ; Neck Pain/etiology ; Neck Pain/surgery ; Nerve Block/methods ; Neurosurgical Procedures/instrumentation ; Neurosurgical Procedures/methods* ; Treatment Outcome
Keywords
Neck pain ; Cervicobrachialgia ; Neurotomy ; Radiofrequency ; Catheter Ablation ; Cervical Vertebrae
Abstract
Chronic neck and arm pain or cervicobrachialgia commonly occurs with the degeneration of cervical spine. Authors investigated the usefulness of radiofrequency (RF) neurotomies of cervical medial branches in patients with cervicobrachialgia and analyzed the factors which can influence the treatment outcome. Demographic data, types of pain distribution, responses of double controlled blocks, electrical stimulation parameters, numbers and levels of neurotomies, and surgical outcomes were evaluated after mean follow-up of 12 months. Pain distribution pattern was not significantly correlated with the results of diagnostic blocks. Average stimulation intensity was 0.45 V, ranging from 0.3 to 0.69, to elicit pain response in cervical medial branches. The most common involvement of nerve branches was C4 (89%), followed by C5 (82%), C6 (75%), and C7 (43%). Among total of 28 patients, nineteen (68%) reported successful outcome according to outcome criteria after 6 months of follow-up (p=0.001), and eight (42%) of 19 patients reported complete relief (100%) of pain. Four patients showed recurrence of pain between 6 and 12 months. It was therefore concluded that cervical medial branch neurotomy is considered useful therapeutic modality for the management of cervicobrachialgia in selected patients, particularly in degenerative zygapophyseal disorders.
Files in This Item:
T200605455.pdf Download
DOI
10.3346/jkms.2006.21.1.119
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Neurosurgery (신경외과학교실) > 1. Journal Papers
Yonsei Authors
Shin, Dong Ah(신동아) ORCID logo https://orcid.org/0000-0002-5225-4083
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/111123
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