Clinical course of cervical percutaneous epidural neuroplasty in single-level cervical disc disease with 12-month follow-up

Chang Hyun Oh, Gyu Yeul Ji, DongAh Shin, Pyung Goo Cho, Seung Hwan Yoon

Research output: Contribution to journalArticle

Abstract

Background: Cervical disc disease is a common and occasionally disabling condition, occurring as a natural consequence of aging in the vast majority of the adult population. Percutaneous epidural neuroplasty (PEN) has been used to deliver highly concentrated drugs for chronic neck pain and to prevent scarring in cases refractory to conventional epidural blocks. However, the clinical course after PEN in cervical disc disease is not well-documented. Objective: The purpose of this study was to evaluate the efficacy of cervical PEN for single-level cervical disc disease. Study Design: A retrospective observational study. Methods: A consecutive series of 100 patients who underwent cervical PEN for single-level disc disease (bulging or protrusion) were included in this study. Preoperatively, all patients underwent magnetic resonance imaging (MRI), and visual analog scale (VAS) scores as well as Odom’s criteria were measured preoperatively and at post-operative follow-up visits (one, 3, 6, and 12 months). Limitations: The results of this study are limited by the lack of a control group that did not undergo treatment with PEN. Results: Additional block therapy was performed in 58 patients (58.0%). Subsequent surgery was performed in 10 patients (10.0%, excluded from data of clinical follow-up). Mean neck pain and VAS arm pain scores for all follow-up patients decreased from 6.82 and 4.74 preoperatively to 2.18 and 1.87 at 12 months after PEN (P < 0.001). More than 80% and 40% of all patients with and without additional block therapy after cervical PEN, respectively, showed good and excellent outcomes according to Odom’s Criteria during 12 months of follow-up. During this follow-up period, no severe complications related to the procedure were observed. Conclusion: Cervical PEN was shown to be a safe and effective treatment for neck and arm pain in single-level disc disease during 12 months of follow-up.

Original languageEnglish
Pages (from-to)E941-E949
JournalPain Physician
Volume20
Issue number6
Publication statusPublished - 2017 Sep 1

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Neck Pain
Pain Measurement
Therapeutics
Visual Analog Scale
Chronic Pain
Cicatrix
Observational Studies
Retrospective Studies
Magnetic Resonance Imaging
Control Groups
Pharmaceutical Preparations
Population

All Science Journal Classification (ASJC) codes

  • Anesthesiology and Pain Medicine

Cite this

Oh, Chang Hyun ; Ji, Gyu Yeul ; Shin, DongAh ; Cho, Pyung Goo ; Yoon, Seung Hwan. / Clinical course of cervical percutaneous epidural neuroplasty in single-level cervical disc disease with 12-month follow-up. In: Pain Physician. 2017 ; Vol. 20, No. 6. pp. E941-E949.
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abstract = "Background: Cervical disc disease is a common and occasionally disabling condition, occurring as a natural consequence of aging in the vast majority of the adult population. Percutaneous epidural neuroplasty (PEN) has been used to deliver highly concentrated drugs for chronic neck pain and to prevent scarring in cases refractory to conventional epidural blocks. However, the clinical course after PEN in cervical disc disease is not well-documented. Objective: The purpose of this study was to evaluate the efficacy of cervical PEN for single-level cervical disc disease. Study Design: A retrospective observational study. Methods: A consecutive series of 100 patients who underwent cervical PEN for single-level disc disease (bulging or protrusion) were included in this study. Preoperatively, all patients underwent magnetic resonance imaging (MRI), and visual analog scale (VAS) scores as well as Odom’s criteria were measured preoperatively and at post-operative follow-up visits (one, 3, 6, and 12 months). Limitations: The results of this study are limited by the lack of a control group that did not undergo treatment with PEN. Results: Additional block therapy was performed in 58 patients (58.0{\%}). Subsequent surgery was performed in 10 patients (10.0{\%}, excluded from data of clinical follow-up). Mean neck pain and VAS arm pain scores for all follow-up patients decreased from 6.82 and 4.74 preoperatively to 2.18 and 1.87 at 12 months after PEN (P < 0.001). More than 80{\%} and 40{\%} of all patients with and without additional block therapy after cervical PEN, respectively, showed good and excellent outcomes according to Odom’s Criteria during 12 months of follow-up. During this follow-up period, no severe complications related to the procedure were observed. Conclusion: Cervical PEN was shown to be a safe and effective treatment for neck and arm pain in single-level disc disease during 12 months of follow-up.",
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Clinical course of cervical percutaneous epidural neuroplasty in single-level cervical disc disease with 12-month follow-up. / Oh, Chang Hyun; Ji, Gyu Yeul; Shin, DongAh; Cho, Pyung Goo; Yoon, Seung Hwan.

In: Pain Physician, Vol. 20, No. 6, 01.09.2017, p. E941-E949.

Research output: Contribution to journalArticle

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