Abstract：Objective To evaluate the efficacy of nucleoplasty coblation in patients with lower cervical discogenic vertigo.Methods Seventy-eight eligible patients were treated with nucleoplasty coblation guided by the G mode X-ray machine.The visual analogue scale (VAS) and Dizziness Handicap Inventory(DHI)were recorded before and after treatment.The improved Mac Nab criterion was adopted to evaluate the clinical efficacy.Results The VAS scores at each post-treatment time point were remarkably lower than before treatment,and the difference was statistically significant (P<0.01).The excellent and good rate of therapy at 3 days,3 months,6 months and 12 months after treatment was respectively 70.5%,77.0%,78.0% and 82.0%.Conclusions This study indicates that nucleoplasty coblation is an effective and safe approach to lower cervical discogenic vertigo.
Wrisley D M,Sparto P J,Whitney S L,et al.Cervicogenic dizziness:a review of diagnosis and treatment[J].J Orthop Sports Phys Ther,2000,30(12):755-766.
[2]
Peng B,Yang L,Yang C,et al.The effectiveness of anterior cervical decompression and fusion for the relief of dizziness in patients with cervical spondylosis:a multicentre prospective cohort study[J].Bone Joint J,2018,100 (1):81-87.
[3]
Eichen P M,Achilles N,Konig V,et al.Nucleoplasty,a minimally invasive procedure for disc decompression:a systematic review and meta-analysis of published clinical studies[J].Pain Physician,2014,17(2):E149-E173.
[4]
Nardi P V,Cabezas D,Cesaroni A.Percutaneous cervical nucleoplasty using coblation technology.Clinical results in fifty consecutive cases[J].Acta Neurochir Suppl,2005,92:73-78.
[5]
Li S,Chen R,Chen Y,et al.Therapeutic effects and safety of percutaneous disc decompression with coblationnucleoplasty in cervical vertigo:a retrospective outcome study with 74 consecutive patients and minimum 1-year follow-up[J].Pain Physician,2019,22(3):E205-E214.
[6]
Muheremu A,Sun Y,Yan K,et al.Effect of anterior cervical discectomy and fusion on patients with atypical symptoms related to cervical spondylosis[J].J NeurolSurg A Cent EurNeurosurg,2016,77(5):395-399.
[7]
Jacobson G P,Newman C W.The development of the dizziness handicap inventory[J].Arch Otolaryngol Head Neck Surg,1990,116(4):424-427.
[8]
Macnab I.Negative disc exploration,an analysis of the causes of nerve-root involvement in sixty-eight patients[J].J Bone Joint Surg Am,1971,53(5):891-903.
[9]
杨 亮,彭宝淦.颈性头晕的发病机制[J].武警医学,2017,28(5):433-436.
[10]
Yang L,Yang C,Pang X,et al.Mechanoreceptors in diseased cervical intervertebral disc and vertigo[J].Spine (Phila Pa 1976).2017,42(8):540-546.
[11]
Yang L,Chen J,Yang C,et al.Cervical intervertebral disc degeneration contributes to dizziness:a clinical and immunohistochemical study[J].World Neurosurg,2018,119:e686-e693.
[12]
Fujimoto K,Miyagi M,Ishikawa T,et al.Sensory and autonomic innervation of the cervical intervertebral disc in rats:the pathomechanics of chronic discogenic neck pain[J].Spine (Phila Pa 1976),2012,37(16):1357-1362.
[13]
Yacovino D A,Hain T C.Clinical characteristics of cervicogenic-related dizziness and vertigo[J].Semin Neurol,2013,33(3):244-255.
[14]
Alahmari K A,Reddy R S,Silvian P,et al.Influence of chronic neck pain on cervical joint position error (JPE):Comparison between young and elderly subjects[J].J Back MusculoskeletRehabil,2017,30(6):1265-1271.
[15]
Reid S A,Callister R,Snodgrass SJ,et al.Manual therapy for cervicogenic dizziness:Long-term outcomes of a randomisedtrial[J].Man Ther,2015,20(1):148-156.
[16]
Li J,Jiang D J,Wang X W,et al.Mid-term outcomes of anterior cervical fusion for cervical spondylosis with sympathetic symptoms[J].Clin Spine Surg,2016,29(6):255-260.
[17]
Ren L,Guo B,Zhang J,et al.Mid-term efficacy of percutaneous laser disc decompression for treatment of cervical vertigo[J].Eur J Orthop Surg Traumatol,2014,24 (Suppl 1):S153-S158.
[18]
Chen G L,Feng T T,Xu S T,et al.Clinical observation of percutaneous coblationnucleoplasty for the treatment of cervical spondylotic radiculopathy[J].Zhongguo Gu Shang,2018,31(8):729-734.
2021, Vol. 32 
