Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2017 Apr;90(1072):20150772.
doi: 10.1259/bjr.20150772. Epub 2017 Mar 3.

Curative effect and mechanism of radiofrequency ablation nucleoplasty in the treatment of cervical vertigo

Hai-Dong Yin  1 , Xin-Mei Zhang  2 , Ming-Guang Huang  1 , Wei Chen  1 , Yang Song  1 , Qing-Jun Du  1 , Yu-Ning Wu  1 , Ruo-Bin Yang  1
Affiliations

Curative effect and mechanism of radiofrequency ablation nucleoplasty in the treatment of cervical vertigo

Hai-Dong Yin et al. Br J Radiol. 2017 Apr.

Abstract

Objective: This study aims to investigate the curative effects and mechanism of radiofrequency ablation nucleoplasty in the treatment of cervical vertigo.

Methods: A total of 27 patients diagnosed with cervical vertigo from January 2012 to October 2014 received treatment of radiofrequency ablation nucleoplasty. The narrow-side vertebral artery diameters were examined by using Philips 1.5-T body dual-gradient MRI system. The haemodynamic parameters were detected by using transcranial Doppler sonography. Both of the vertebral artery diameters and haemodynamic parameters were recorded and compared before and after treatment. The curative effects in early post-operative application were evaluated according to the Nagashima standards.

Results: Radiofrequency ablation nucleoplasty was performed in a total of 59 cervical discs in 27 patients. The average operation time was 42.7 min, and the symptoms of 92.6% patients were alleviated after radiofrequency ablation nucleoplasty post-operation application. There was no significant difference in the narrow-side vertebral artery diameters before and after treatment in both Group A (p = 0.12) and Group B (p = 0.48); however, the blood flow velocity was significantly higher than that before treatment in both Group A (p = 0.01) and Group B (p = 0.03), respectively.

Conclusion: Radiofrequency ablation nucleoplasty improves the blood flow in the narrow-side vertebral artery and illustrates the therapeutic effect on cervical vertigo in patients who have no direct compression of the vertebral artery. Advances in knowledge: Radiofrequency intradiscal nucleoplasty can be used as a minimally invasive procedure for treating cervical vertigo.

PubMed Disclaimer

Figures

Figure 1.
Figure 1.
The distortion of left vertebral artery stenosis in MRA. The white arrow illustrates the distortion.
Figure 2.
Figure 2.
The MRA twisted right vertebral artery stenosis. The white arrow illustrates the twisting.
Figure 3.
Figure 3.
Intraoperative anteroposterior fluoroscopy. In the intraoperative anteroposterior fluoroscopy, in addition to obtaining an accurate reduction, combining the osteological details with the corresponding intraoperative fluoroscopic imaging is necessary to safely perform percutaneous fixation. The inlet and outlet fluoroscopic views are utilized to safely place iliosacral screws. An intraoperative lateral fluoroscopic view can be extremely helpful by providing a third dimension that helps verify the osteology seen in the inlet and outlet views.
Figure 4.
Figure 4.
Intraoperative lateral fluoroscopy. In the intraoperative lateral fluoroscopy, in addition to obtaining an accurate reduction, combining the osteological details with the corresponding intraoperative fluoroscopic imaging is necessary to safely perform percutaneous fixation. The inlet and outlet fluoroscopic views are utilized to safely place iliosacral screws. An intraoperative lateral fluoroscopic view can be extremely helpful by providing a third dimension that helps verify the osteology seen in the inlet and outlet views.
See this image and copyright information in PMC

References

    1. Ryan GM, Cope S. Cervical vertigo. Lancet 1955; 31: 1355–8. doi: https://doi.org/10.1016/S0140-6736(55)93159-7 - DOI - PubMed
    1. Takasaki H, Johnston V, Treleaven J, Pereira M, Jull G. Driving with a chronic whiplash-associated disorder: a review of patients' perspectives. Arch Phys Med Rehabil 2011; 92: 106–10. doi: https://doi.org/10.1016/j.apmr.2010.10.008 - DOI - PubMed
    1. Cheng B, Zhang Z, Pei Z. The evaluation of the application effect about resection of tongue cyst by low-temperature plasma radiofrequency ablation system. [In Chinese.] Lin Chung Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2015; 29: 561–3. - PubMed
    1. Nardi PV, Cabezas D, Cesaroni A. Percutaneouscervical nucleoplasty using coblation technology. Clinical results in fifty consecutive cases. Acta Neurochir Suppl 2005; 92: 73–8. doi: https://doi.org/10.1007/3-211-27458-8_16 - DOI - PubMed
    1. Lee D, Loh E, Kueh C, Poi J, Francis T, Koh K, et al. Radiofrequency-induced intradiscal nucleoplasty chronic low back pain secondary to lumbar disc herniation. Malays Orthop J 2013; 7: 18–20. doi: https://doi.org/10.5704/MOJ.1307.009 - DOI - PMC - PubMed