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Cervicogenic dizziness alleviation after coblation discoplasty: a retrospective study
Liang-Liang He1, Ru-Jing Lai2, Jacqueline Leff3
1Department of Pain Management, Xuanwu Hospital, Capital Medical University, Beijing, China.
Annals of Medicine
|April 15, 2021
Summary
Coblation discoplasty effectively treats cervicogenic dizziness (CGD) by reducing pain and dizziness frequency. This procedure offers significant improvement for patients unresponsive to conservative treatments.
Area of Science:
- Neurosurgery
- Orthopedics
- Pain Management
Background:
- Cervicogenic dizziness (CGD) is linked to degenerative cervical discs causing abnormal proprioceptive input.
- The therapeutic relationship between coblation discoplasty and CGD is not well-established.
Purpose of the Study:
- To evaluate the efficacy of coblation discoplasty in treating CGD.
- To analyze intradiscal nerve ablation and disc decompression for CGD relief.
Main Methods:
- Retrospective study of 42 CGD patients undergoing coblation discoplasty versus 22 in a conservative group.
- Intent-to-treat analysis of visual analogue scale (VAS) for CGD and neck pain, CGD frequency, and alleviation ratings over 12 months.
Main Results:
- Coblation discoplasty showed significant improvements in CGD VAS and neck pain VAS compared to conservative care.
- A notable decrease in CGD frequency score was observed up to 3 months post-surgery (p < 0.01).
- Coblation procedures resulted in higher CGD alleviation ratings at 12 months (p < 0.001).
Conclusions:
- Coblation discoplasty significantly reduces the severity and frequency of cervicogenic dizziness.
- This procedure serves as a viable option for patients with CGD unresponsive to conservative interventions.
- Intradiscal nerve ablation and decompression via coblation discoplasty effectively alleviate CGD symptoms.