cervical disc herniation
Conditions
Interventions
experimental group:low-temperature plasma nucleoplasty and collagenase chemonucleolysis
Control Group:low-temperature plasma nucleoplasty
Sponsors
Jiangwan Hospital, Hongkou District, Shanghai
Eligibility
Sex/Gender
All
Age
40 Years to 80 Years
Inclusion criteria
Inclusion criteria: ? Patients with single segment herniation who meet the diagnostic criteria for cervical disc herniation according to clinical symptoms, signs and CT/MRI examination; ? Recurrent cases after more than 3 months of conservative treatment; ?No severe spinal cord compression, no significant changes in spinal signals; ?The protruding nucleus pulposus tissue did not form free fragments and fell off in the spinal canal, but was still surrounded by fibrous annulus or posterior longitudinal ligament; ? The height of the intervertebral space is greater than 75% of normal.
Exclusion criteria
Exclusion criteria: ? Multi-segmental lesions and severe disease; ? Cervical dynamic position X-ray suggests spinal motor segment instability; ?CT showed calcification or ossification of the herniated intervertebral disc, hyperplasia of the foramina, intervertebral joint and uncinate joint, significant narrowing of the intervertebral space (less than half the width of the adjacent normal space), hypertrophy of the yellow ligament, cervical spinal stenosis (non-discogenic), and disc herniation or dissociation. ? Patients with severe disc degeneration on CT scan; ? Severe allergy.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| VAS pain scores; | — |
Secondary
| Measure | Time frame |
|---|---|
| SF-36 Scale scores;Improved MacNab standard evaluation;Emotional assessment;Sleep assessment; | — |
Countries
China
Contacts
Public ContactChan Zhu
Jiangwan Hospital, Hongkou District, Shanghai
Outcome results
None listed