Percutaneous cervical nucleoplasty using coblation technology. Clinical results in fifty consecutive cases

Surgery versus conservative care for neck pain: a systematic review

“…Three studies performed nucleoplasty Eur Spine J (2013) 22:87-95 89 procedure [12,16,17] which seem largely comparable. In five studies, an ACDF procedure (anterior cervical discectomy with fusion) was described and in one study the surgical procedure was an occipitocervical fusion [20].…”

“…1). Six studies, four of which were CCTs, were identified which examined surgery versus non-surgical interventions in patients with radiculopathy [12][13][14][15][16][17]. Three studies, of which two CCTs, compared surgery versus nonsurgical interventions in myelopathy patients [18,19,20].…”

“…Mean duration of complaints was unknown in three studies and varied between 1 and 7 years in the other six studies. Mean sample size in the smallest study arm was 31.6 and varied between 20 [17] and 58 [16].…”

“…All six CCTs were identified with a high risk of bias (Table 2) [12,13,14,17,19,20]. Two out of three RCTs also had a high risk of bias.…”

“…Included studies (n=3 RCTs; 6 CCTs) patients with radicular arm pain [12,17]. Throughout the 2-year follow-up period, the nucleoplasty group demonstrated a clinically relevant effect on pain relief (i.e.…”