C-arm Fluoroscopy-guided Injection Type Knife Clinical Studies Of Nerve Root Type Cervical Disease Treatment

Objective:To research the clinical efficacy of using injection-type needle-knife to block the paravertebral nerve and release the Cervical zygapophysial soft tissue by C-arm fluoroscopy-guided in neck posterior approach to treat cervical spondylotic radiculopathy(CSR). Methods:From2011July to2012May,90CSR patients were divided into three groups:30patients were treated by injection-type needle-knife to block the paravertebral nerve and release the cervical zygapophysial soft tissue by C-arm fluoroscopy-guided,30patients were treated by injecting to block the paravertebral nerve,30patients were treated by using needle-knife to release the cervical zygapophysial soft tissue by C-arm fluoroscopy-guided; We analyzed all patients scores in before treatment,1week、1month、6months after treatment. Results:According to<The evaluation index system of cervical spondylotic radiculopathy>, the results show that scores of three groups were no significant difference (P=0.776>0.05) before treatment, after1week and1month, the scores of three groups were significant difference (P=0.000<0.05),and the scores of injection-type needle-knife group were higher than the other two groups; After6months, the scores of injection-type needle-knife group were decline,but these were superior efficacy than the other two groups, they were significant difference (P=0.000<0.05). Conclusion:using injection-type needle-knife to block the paravertebral nerve and release the Cervical zygapophysial soft tissue by C-arm fluoroscopy-guided in neck posterior approach to treat CSR could get more efficacy than using needle-knife and simple injecting.