Evaluation of the efficacy and safety of day surgery for cervical disc herniation treated with low temperature plasma radiofrequency ablation
Purpose The purpose of this study was to evaluate and compare the clinical efficacy of patients with cervical disc herniation (CDH) treated by low-temperature plasma radiofrequency ablation (LTP-RFA) as day surgery with traditional inpatients. Methods According to the selection criteria, single-segm...
Gespeichert in:
| Veröffentlicht in: | International orthopaedics 2024, Vol.48 (1), p.211-219 |
|---|---|
| Hauptverfasser: | , , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 219 |
|---|---|
| container_issue | 1 |
| container_start_page | 211 |
| container_title | International orthopaedics |
| container_volume | 48 |
| creator | An, Zhongcheng Fan, Guangya Su, Wenshuo Chen, Chen Lai, Tingyuan Dong, Liqiang |
| description | Purpose
The purpose of this study was to evaluate and compare the clinical efficacy of patients with cervical disc herniation (CDH) treated by low-temperature plasma radiofrequency ablation (LTP-RFA) as day surgery with traditional inpatients.
Methods
According to the selection criteria, single-segment mild to moderate CDH patients who received LTP-RFA from January 2020 to December 2021 were divided into day surgery procedure (DSP) group and a traditional inpatient procedure (TIP) group. The visual analogue score (VAS) and modified Japanese Orthopedic Association score (mJOA) of neurological function of patients in the two groups were recorded at the time of preoperative, and one day, three months, six months after surgery and the last follow-up respectively. The gender, age, responsible segment, surgical complications, hospitalization time, hospitalization expenses, and patient satisfaction were recorded and analyzed for both groups. The modified Macnab standard was used to evaluate the postoperative efficacy at one month and six months after operation.
Results
A total of 127 patients (75 in DSP;52 in TIP) with complete data were enrolled and completed six month follow-up. There were no statistically significant pre-treatment VAS scores and mJOA scores in the two groups (
P
>0.05). The postoperative VAS and mJOA scores in both groups were improved after surgery (
P
0.05). The efficacy of MacNab was similar one month and six months after operation (
P
> 0.05). The hospitalization time and hospitalization cost were significantly lower in DSP group (all
P |
| doi_str_mv | 10.1007/s00264-023-05955-y |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2861305036</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2861305036</sourcerecordid><originalsourceid>FETCH-LOGICAL-c298t-84364b0081f0e37fa1b3924a686b7458289d8d720bbab56d5dfa60e2114057513</originalsourceid><addsrcrecordid>eNp9kc1u1TAQhS0EopfCC7BAXrIJjO3YcZaoagGpEhtYW5N4zE2Vn4vttMpD8M74NoUlq1nMd878HMbeCvggAJqPCUCaugKpKtCt1tX2jB1ErWSlRaufswOoWlTStPqCvUrpDkA0xoqX7EI1xthGtgf2-_oexxXzsMx8CTwfiVMIQ4_9xnH2PGGgvJ1bHjee1viT4sbDEnlP8b5wI_dD6vmR4jzsNjkSZvL8YchHPi4PPNN0ooh5jcRPI6YJeUQ_LCHSr5Xm86RufNS-Zi8CjonePNVL9uPm-vvVl-r22-evV59uq162Nle2VqbuAKwIQKoJKDrVyhqNNV1Taytt661vJHQddtp47QMaIClEDbrRQl2y97vvKS5lhZTdVI6gccSZljU5aY1QoEGZgsod7eOSUqTgTnGYMG5OgDvH4PYYXInBPcbgtiJ69-S_dhP5f5K_fy-A2oFUWnP5qbtb1jiXm_9n-weyGpYJ</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2861305036</pqid></control><display><type>article</type><title>Evaluation of the efficacy and safety of day surgery for cervical disc herniation treated with low temperature plasma radiofrequency ablation</title><source>MEDLINE</source><source>SpringerLink Journals</source><source>Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals</source><creator>An, Zhongcheng ; Fan, Guangya ; Su, Wenshuo ; Chen, Chen ; Lai, Tingyuan ; Dong, Liqiang</creator><creatorcontrib>An, Zhongcheng ; Fan, Guangya ; Su, Wenshuo ; Chen, Chen ; Lai, Tingyuan ; Dong, Liqiang</creatorcontrib><description>Purpose
The purpose of this study was to evaluate and compare the clinical efficacy of patients with cervical disc herniation (CDH) treated by low-temperature plasma radiofrequency ablation (LTP-RFA) as day surgery with traditional inpatients.
Methods
According to the selection criteria, single-segment mild to moderate CDH patients who received LTP-RFA from January 2020 to December 2021 were divided into day surgery procedure (DSP) group and a traditional inpatient procedure (TIP) group. The visual analogue score (VAS) and modified Japanese Orthopedic Association score (mJOA) of neurological function of patients in the two groups were recorded at the time of preoperative, and one day, three months, six months after surgery and the last follow-up respectively. The gender, age, responsible segment, surgical complications, hospitalization time, hospitalization expenses, and patient satisfaction were recorded and analyzed for both groups. The modified Macnab standard was used to evaluate the postoperative efficacy at one month and six months after operation.
Results
A total of 127 patients (75 in DSP;52 in TIP) with complete data were enrolled and completed six month follow-up. There were no statistically significant pre-treatment VAS scores and mJOA scores in the two groups (
P
>0.05). The postoperative VAS and mJOA scores in both groups were improved after surgery (
P
<0.05). However, there was no significant difference in VAS scores and mJOA scores between the two groups in the same postoperative period (all
P
> 0.05). The efficacy of MacNab was similar one month and six months after operation (
P
> 0.05). The hospitalization time and hospitalization cost were significantly lower in DSP group (all
P
<0.05). As the treatment effects were comparable, patients in both groups were similarly satisfied at discharge.
Conclusion
LTP-RFA is an effective method for the treatment of mild to moderate CDH. We suggest that the application of LTP-RFA in DSP for mild to moderate CDH is worthy of wide application.</description><identifier>ISSN: 0341-2695</identifier><identifier>EISSN: 1432-5195</identifier><identifier>DOI: 10.1007/s00264-023-05955-y</identifier><identifier>PMID: 37668729</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Ambulatory Surgical Procedures - adverse effects ; Humans ; Intervertebral Disc Displacement - complications ; Intervertebral Disc Displacement - surgery ; Lumbar Vertebrae - surgery ; Medicine ; Medicine & Public Health ; Original Paper ; Orthopedics ; Radiofrequency Ablation - adverse effects ; Retrospective Studies ; Temperature ; Treatment Outcome</subject><ispartof>International orthopaedics, 2024, Vol.48 (1), p.211-219</ispartof><rights>The Author(s) under exclusive licence to SICOT aisbl 2023. Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.</rights><rights>2023. The Author(s) under exclusive licence to SICOT aisbl.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c298t-84364b0081f0e37fa1b3924a686b7458289d8d720bbab56d5dfa60e2114057513</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00264-023-05955-y$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00264-023-05955-y$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/37668729$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>An, Zhongcheng</creatorcontrib><creatorcontrib>Fan, Guangya</creatorcontrib><creatorcontrib>Su, Wenshuo</creatorcontrib><creatorcontrib>Chen, Chen</creatorcontrib><creatorcontrib>Lai, Tingyuan</creatorcontrib><creatorcontrib>Dong, Liqiang</creatorcontrib><title>Evaluation of the efficacy and safety of day surgery for cervical disc herniation treated with low temperature plasma radiofrequency ablation</title><title>International orthopaedics</title><addtitle>International Orthopaedics (SICOT)</addtitle><addtitle>Int Orthop</addtitle><description>Purpose
The purpose of this study was to evaluate and compare the clinical efficacy of patients with cervical disc herniation (CDH) treated by low-temperature plasma radiofrequency ablation (LTP-RFA) as day surgery with traditional inpatients.
Methods
According to the selection criteria, single-segment mild to moderate CDH patients who received LTP-RFA from January 2020 to December 2021 were divided into day surgery procedure (DSP) group and a traditional inpatient procedure (TIP) group. The visual analogue score (VAS) and modified Japanese Orthopedic Association score (mJOA) of neurological function of patients in the two groups were recorded at the time of preoperative, and one day, three months, six months after surgery and the last follow-up respectively. The gender, age, responsible segment, surgical complications, hospitalization time, hospitalization expenses, and patient satisfaction were recorded and analyzed for both groups. The modified Macnab standard was used to evaluate the postoperative efficacy at one month and six months after operation.
Results
A total of 127 patients (75 in DSP;52 in TIP) with complete data were enrolled and completed six month follow-up. There were no statistically significant pre-treatment VAS scores and mJOA scores in the two groups (
P
>0.05). The postoperative VAS and mJOA scores in both groups were improved after surgery (
P
<0.05). However, there was no significant difference in VAS scores and mJOA scores between the two groups in the same postoperative period (all
P
> 0.05). The efficacy of MacNab was similar one month and six months after operation (
P
> 0.05). The hospitalization time and hospitalization cost were significantly lower in DSP group (all
P
<0.05). As the treatment effects were comparable, patients in both groups were similarly satisfied at discharge.
Conclusion
LTP-RFA is an effective method for the treatment of mild to moderate CDH. We suggest that the application of LTP-RFA in DSP for mild to moderate CDH is worthy of wide application.</description><subject>Ambulatory Surgical Procedures - adverse effects</subject><subject>Humans</subject><subject>Intervertebral Disc Displacement - complications</subject><subject>Intervertebral Disc Displacement - surgery</subject><subject>Lumbar Vertebrae - surgery</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Original Paper</subject><subject>Orthopedics</subject><subject>Radiofrequency Ablation - adverse effects</subject><subject>Retrospective Studies</subject><subject>Temperature</subject><subject>Treatment Outcome</subject><issn>0341-2695</issn><issn>1432-5195</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kc1u1TAQhS0EopfCC7BAXrIJjO3YcZaoagGpEhtYW5N4zE2Vn4vttMpD8M74NoUlq1nMd878HMbeCvggAJqPCUCaugKpKtCt1tX2jB1ErWSlRaufswOoWlTStPqCvUrpDkA0xoqX7EI1xthGtgf2-_oexxXzsMx8CTwfiVMIQ4_9xnH2PGGgvJ1bHjee1viT4sbDEnlP8b5wI_dD6vmR4jzsNjkSZvL8YchHPi4PPNN0ooh5jcRPI6YJeUQ_LCHSr5Xm86RufNS-Zi8CjonePNVL9uPm-vvVl-r22-evV59uq162Nle2VqbuAKwIQKoJKDrVyhqNNV1Taytt661vJHQddtp47QMaIClEDbrRQl2y97vvKS5lhZTdVI6gccSZljU5aY1QoEGZgsod7eOSUqTgTnGYMG5OgDvH4PYYXInBPcbgtiJ69-S_dhP5f5K_fy-A2oFUWnP5qbtb1jiXm_9n-weyGpYJ</recordid><startdate>2024</startdate><enddate>2024</enddate><creator>An, Zhongcheng</creator><creator>Fan, Guangya</creator><creator>Su, Wenshuo</creator><creator>Chen, Chen</creator><creator>Lai, Tingyuan</creator><creator>Dong, Liqiang</creator><general>Springer Berlin Heidelberg</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>2024</creationdate><title>Evaluation of the efficacy and safety of day surgery for cervical disc herniation treated with low temperature plasma radiofrequency ablation</title><author>An, Zhongcheng ; Fan, Guangya ; Su, Wenshuo ; Chen, Chen ; Lai, Tingyuan ; Dong, Liqiang</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c298t-84364b0081f0e37fa1b3924a686b7458289d8d720bbab56d5dfa60e2114057513</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Ambulatory Surgical Procedures - adverse effects</topic><topic>Humans</topic><topic>Intervertebral Disc Displacement - complications</topic><topic>Intervertebral Disc Displacement - surgery</topic><topic>Lumbar Vertebrae - surgery</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Original Paper</topic><topic>Orthopedics</topic><topic>Radiofrequency Ablation - adverse effects</topic><topic>Retrospective Studies</topic><topic>Temperature</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>An, Zhongcheng</creatorcontrib><creatorcontrib>Fan, Guangya</creatorcontrib><creatorcontrib>Su, Wenshuo</creatorcontrib><creatorcontrib>Chen, Chen</creatorcontrib><creatorcontrib>Lai, Tingyuan</creatorcontrib><creatorcontrib>Dong, Liqiang</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>International orthopaedics</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>An, Zhongcheng</au><au>Fan, Guangya</au><au>Su, Wenshuo</au><au>Chen, Chen</au><au>Lai, Tingyuan</au><au>Dong, Liqiang</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Evaluation of the efficacy and safety of day surgery for cervical disc herniation treated with low temperature plasma radiofrequency ablation</atitle><jtitle>International orthopaedics</jtitle><stitle>International Orthopaedics (SICOT)</stitle><addtitle>Int Orthop</addtitle><date>2024</date><risdate>2024</risdate><volume>48</volume><issue>1</issue><spage>211</spage><epage>219</epage><pages>211-219</pages><issn>0341-2695</issn><eissn>1432-5195</eissn><abstract>Purpose
The purpose of this study was to evaluate and compare the clinical efficacy of patients with cervical disc herniation (CDH) treated by low-temperature plasma radiofrequency ablation (LTP-RFA) as day surgery with traditional inpatients.
Methods
According to the selection criteria, single-segment mild to moderate CDH patients who received LTP-RFA from January 2020 to December 2021 were divided into day surgery procedure (DSP) group and a traditional inpatient procedure (TIP) group. The visual analogue score (VAS) and modified Japanese Orthopedic Association score (mJOA) of neurological function of patients in the two groups were recorded at the time of preoperative, and one day, three months, six months after surgery and the last follow-up respectively. The gender, age, responsible segment, surgical complications, hospitalization time, hospitalization expenses, and patient satisfaction were recorded and analyzed for both groups. The modified Macnab standard was used to evaluate the postoperative efficacy at one month and six months after operation.
Results
A total of 127 patients (75 in DSP;52 in TIP) with complete data were enrolled and completed six month follow-up. There were no statistically significant pre-treatment VAS scores and mJOA scores in the two groups (
P
>0.05). The postoperative VAS and mJOA scores in both groups were improved after surgery (
P
<0.05). However, there was no significant difference in VAS scores and mJOA scores between the two groups in the same postoperative period (all
P
> 0.05). The efficacy of MacNab was similar one month and six months after operation (
P
> 0.05). The hospitalization time and hospitalization cost were significantly lower in DSP group (all
P
<0.05). As the treatment effects were comparable, patients in both groups were similarly satisfied at discharge.
Conclusion
LTP-RFA is an effective method for the treatment of mild to moderate CDH. We suggest that the application of LTP-RFA in DSP for mild to moderate CDH is worthy of wide application.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>37668729</pmid><doi>10.1007/s00264-023-05955-y</doi><tpages>9</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0341-2695 |
| ispartof | International orthopaedics, 2024, Vol.48 (1), p.211-219 |
| issn | 0341-2695 1432-5195 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_2861305036 |
| source | MEDLINE; SpringerLink Journals; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals |
| subjects | Ambulatory Surgical Procedures - adverse effects Humans Intervertebral Disc Displacement - complications Intervertebral Disc Displacement - surgery Lumbar Vertebrae - surgery Medicine Medicine & Public Health Original Paper Orthopedics Radiofrequency Ablation - adverse effects Retrospective Studies Temperature Treatment Outcome |
| title | Evaluation of the efficacy and safety of day surgery for cervical disc herniation treated with low temperature plasma radiofrequency ablation |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-02-08T09%3A16%3A08IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Evaluation%20of%20the%20efficacy%20and%20safety%20of%20day%20surgery%20for%20cervical%20disc%20herniation%20treated%20with%20low%20temperature%20plasma%20radiofrequency%20ablation&rft.jtitle=International%20orthopaedics&rft.au=An,%20Zhongcheng&rft.date=2024&rft.volume=48&rft.issue=1&rft.spage=211&rft.epage=219&rft.pages=211-219&rft.issn=0341-2695&rft.eissn=1432-5195&rft_id=info:doi/10.1007/s00264-023-05955-y&rft_dat=%3Cproquest_cross%3E2861305036%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2861305036&rft_id=info:pmid/37668729&rfr_iscdi=true |