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Radiofrequency Neurotomy of Cervical Medial Branches for Chronic Cervicobrachialgia

DC FieldValueLanguage
dc.contributor.author신동아-
dc.date.accessioned2015-06-10T13:09:43Z-
dc.date.available2015-06-10T13:09:43Z-
dc.date.issued2006-
dc.identifier.issn1011-8934-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/111123-
dc.description.abstractChronic 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.-
dc.description.statementOfResponsibilityopen-
dc.format.extent119~125-
dc.relation.isPartOfJournal of Korean Medical Science-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.rights.urihttps://creativecommons.org/licenses/by-nc-nd/2.0/kr/-
dc.subject.MESHAdult-
dc.subject.MESHAged-
dc.subject.MESHAged, 80 and over-
dc.subject.MESHBack Pain/etiology-
dc.subject.MESHBack Pain/surgery-
dc.subject.MESHBrachial Plexus/pathology-
dc.subject.MESHBrachial Plexus/surgery*-
dc.subject.MESHBrachial Plexus Neuritis/complications-
dc.subject.MESHBrachial Plexus Neuritis/diagnosis-
dc.subject.MESHBrachial Plexus Neuritis/surgery*-
dc.subject.MESHChronic Disease-
dc.subject.MESHElectrosurgery/methods-
dc.subject.MESHFemale-
dc.subject.MESHHumans-
dc.subject.MESHMale-
dc.subject.MESHMiddle Aged-
dc.subject.MESHNeck Pain/etiology-
dc.subject.MESHNeck Pain/surgery-
dc.subject.MESHNerve Block/methods-
dc.subject.MESHNeurosurgical Procedures/instrumentation-
dc.subject.MESHNeurosurgical Procedures/methods*-
dc.subject.MESHTreatment Outcome-
dc.titleRadiofrequency Neurotomy of Cervical Medial Branches for Chronic Cervicobrachialgia-
dc.typeArticle-
dc.contributor.collegeCollege of Medicine (의과대학)-
dc.contributor.departmentDept. of Neurosurgery (신경외과학)-
dc.contributor.googleauthorWoo-Ram Shin-
dc.contributor.googleauthorHyoung-Ihl Kim-
dc.contributor.googleauthorDong-Gyu Shin-
dc.contributor.googleauthorDong-Ah Shin-
dc.identifier.doi10.3346/jkms.2006.21.1.119-
dc.admin.authorfalse-
dc.admin.mappingfalse-
dc.contributor.localIdA02092-
dc.relation.journalcodeJ01517-
dc.identifier.pmid16479077-
dc.subject.keywordNeck pain-
dc.subject.keywordCervicobrachialgia-
dc.subject.keywordNeurotomy-
dc.subject.keywordRadiofrequency-
dc.subject.keywordCatheter Ablation-
dc.subject.keywordCervical Vertebrae-
dc.contributor.alternativeNameShin, Dong A-
dc.contributor.affiliatedAuthorShin, Dong A-
dc.rights.accessRightsfree-
dc.citation.volume21-
dc.citation.number1-
dc.citation.startPage119-
dc.citation.endPage125-
dc.identifier.bibliographicCitationJournal of Korean Medical Science, Vol.21(1) : 119-125, 2006-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Neurosurgery (신경외과학교실) > 1. Journal Papers

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