Radiofrequency neurotomy of cervical medial branches for chronic cervicobrachialgia

Woo Ram Shin, Hyoung Ihl Kim, Dong Gyu Shin, Dong Ah Shin

Research output: Contribution to journalArticle

22 Citations (Scopus)

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 followup (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.

Original languageEnglish
Pages (from-to)119-125
Number of pages7
JournalJournal of Korean medical science
Volume21
Issue number1
DOIs
Publication statusPublished - 2006 Feb

Fingerprint

Pain
Neck Pain
Chronic Pain
Electric Stimulation
Spine
Demography
Recurrence
Therapeutics

All Science Journal Classification (ASJC) codes

  • Medicine(all)

Cite this

Shin, Woo Ram ; Kim, Hyoung Ihl ; Shin, Dong Gyu ; Shin, Dong Ah. / Radiofrequency neurotomy of cervical medial branches for chronic cervicobrachialgia. In: Journal of Korean medical science. 2006 ; Vol. 21, No. 1. pp. 119-125.
@article{60b8666d8e0d44b3ad810221eca16a08,
title = "Radiofrequency neurotomy of cervical medial branches for chronic cervicobrachialgia",
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 followup (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.",
author = "Shin, {Woo Ram} and Kim, {Hyoung Ihl} and Shin, {Dong Gyu} and Shin, {Dong Ah}",
year = "2006",
month = "2",
doi = "10.3346/jkms.2006.21.1.119",
language = "English",
volume = "21",
pages = "119--125",
journal = "Journal of Korean Medical Science",
issn = "1011-8934",
publisher = "Korean Academy of Medical Science",
number = "1",

}

Radiofrequency neurotomy of cervical medial branches for chronic cervicobrachialgia. / Shin, Woo Ram; Kim, Hyoung Ihl; Shin, Dong Gyu; Shin, Dong Ah.

In: Journal of Korean medical science, Vol. 21, No. 1, 02.2006, p. 119-125.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Radiofrequency neurotomy of cervical medial branches for chronic cervicobrachialgia

AU - Shin, Woo Ram

AU - Kim, Hyoung Ihl

AU - Shin, Dong Gyu

AU - Shin, Dong Ah

PY - 2006/2

Y1 - 2006/2

N2 - 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 followup (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.

AB - 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 followup (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.

UR - http://www.scopus.com/inward/record.url?scp=33144469522&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=33144469522&partnerID=8YFLogxK

U2 - 10.3346/jkms.2006.21.1.119

DO - 10.3346/jkms.2006.21.1.119

M3 - Article

C2 - 16479077

AN - SCOPUS:33144469522

VL - 21

SP - 119

EP - 125

JO - Journal of Korean Medical Science

JF - Journal of Korean Medical Science

SN - 1011-8934

IS - 1

ER -