Computed tomography-guided spinal cord radiofrequency thermocoagulation for neuropathic pain following spinal cord injury

doi:10.3969/j.issn.1006-7795.2014.01.005

Abstract

Abstract:

Objective To evaluate the efficacy and safety of computed tomography-guided spinal cord radiofrequency thermocoagulation (SCRT) in treating neuropathic pain following spinal cord injury (NeP following SCI) and to investigate indications and contraindications of SCRT. Methods According to the preset inclusive and exclusive criteria, 43 patients with NeP following SCI accepted CT-guided SCRT. Visual analogue scale (VAS), VAS weighted value (VAS-WV) and simplified form of McGill Pain Questionnaire (SF-MPQ) were used to evaluate before and after SCRT; VAS and complications were followed up for 3, 6, 12, 24 and 36 months after SCRT respectively.Results VAS, total pain rating index (PRI-T) and present pain intensity (PPI) were significantly decreased after SCRT; postoperative relief rate was 97.7%; in follow-up period, relief rate was 97.7%, 97.5%, 94.3%, 92.9% and 90.5%, respectively; postoperative complications were post-dural puncture headache (18.6%) and stomachache (11.6%), all complications were completely relieved within 7 days after SCRT; no long-term complication was reported in follow-up period. Conclusion SCRT was effective and safe in treating NeP following SCI.

Key words: spinal cord injury, neuropathic pain, radiofrequency

CLC Number:

R441.1

Wang Qi, Ni Jiaxiang. Computed tomography-guided spinal cord radiofrequency thermocoagulation for neuropathic pain following spinal cord injury[J]. Journal of Capital Medical University, 2014, 35(1): 18-22.

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URL: https://journal03.magtech.org.cn/Jweb_sdykdxxb/EN/10.3969/j.issn.1006-7795.2014.01.005

https://journal03.magtech.org.cn/Jweb_sdykdxxb/EN/Y2014/V35/I1/18

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