{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,12]],"date-time":"2026-06-12T06:22:56Z","timestamp":1781245376232,"version":"3.54.1"},"reference-count":23,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2016,10,14]],"date-time":"2016-10-14T00:00:00Z","timestamp":1476403200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"name":"Cotera Inc"},{"name":"Zimmer Biomet Inc"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Pain Practice"],"published-print":{"date-parts":[[2017,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Cervical neck pain is often caused by cervical disk pathology and may cause severe symptoms and disability. Surgeons and patients are increasingly aware of postsurgery\u2010related complications. This stimulated the clinical usage of minimally invasive treatments such as percutaneous nucleoplasty (<jats:styled-content style=\"fixed-case\">PCN<\/jats:styled-content>) and pulsed radio frequency (<jats:styled-content style=\"fixed-case\">PRF<\/jats:styled-content>). However, scientific evidence on both treatments is limited.<\/jats:p><\/jats:sec><jats:sec><jats:title>Objective<\/jats:title><jats:p>Our objective was to evaluate the efficacy of <jats:styled-content style=\"fixed-case\">PCN<\/jats:styled-content> compared to <jats:styled-content style=\"fixed-case\">PRF<\/jats:styled-content> in patients with contained cervical disk herniation.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A prospective randomized clinical trial was conducted including 34 patients with radicular pain due to a single contained cervical disk herniation who were treated with either <jats:styled-content style=\"fixed-case\">PCN<\/jats:styled-content> or <jats:styled-content style=\"fixed-case\">PRF<\/jats:styled-content>. Demographic data were collected, and the Medical Outcomes Study 12\u2010Item Short Form (<jats:styled-content style=\"fixed-case\">SF<\/jats:styled-content>\u201012) Health Survey, visual analog scale (<jats:styled-content style=\"fixed-case\">VAS<\/jats:styled-content>), and the Neck Disability Index (<jats:styled-content style=\"fixed-case\">NDI<\/jats:styled-content>) were completed 1, 2, and 3 months after treatment. Treatment satisfaction and complications were recorded.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>In the <jats:styled-content style=\"fixed-case\">PCN<\/jats:styled-content> group (<jats:italic>n<\/jats:italic> = 17, mean age 52.4 years, 10 female\/7 male), patients were treated at C5 to C6 (8 cases) or C6 to C7 (9 cases). In the <jats:styled-content style=\"fixed-case\">PRF<\/jats:styled-content> group (<jats:italic>n<\/jats:italic> = 17, mean age 49.5 years, 8 female\/9 male), patients were treated at C3 to C4 (1 case), C5 to C6 (10 cases), or C6 to C7 (6 cases). At 3 months, mean pain <jats:styled-content style=\"fixed-case\">VAS<\/jats:styled-content> improved significantly from baseline in the <jats:styled-content style=\"fixed-case\">PCN<\/jats:styled-content> group (mean improvement: 43.4 points) and in the <jats:styled-content style=\"fixed-case\">PRF<\/jats:styled-content> group (34.0 points). However, improvement in 1 group was not superior compared to the other group (<jats:italic>P<\/jats:italic> = 0.48). No serious complications were reported.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Within 3 months, both <jats:styled-content style=\"fixed-case\">PCN<\/jats:styled-content> and <jats:styled-content style=\"fixed-case\">PRF<\/jats:styled-content> show significant pain improvement in patients with contained cervical disk herniation, but none is superior to the other. Both treatment options appear to be effective and safe in regular clinical practice.<\/jats:p><\/jats:sec>","DOI":"10.1111\/papr.12517","type":"journal-article","created":{"date-parts":[[2016,9,9]],"date-time":"2016-09-09T21:18:07Z","timestamp":1473455887000},"page":"729-737","source":"Crossref","is-referenced-by-count":20,"title":["Percutaneous Cervical Nucleoplasty vs. Pulsed Radio Frequency of the Dorsal Root Ganglion in Patients with Contained Cervical Disk Herniation; A Prospective, Randomized Controlled Trial"],"prefix":"10.1111","volume":"17","author":[{"given":"Willy","family":"Halim","sequence":"first","affiliation":[{"name":"Anna Hospital Geldrop The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Walter","family":"van der Weegen","sequence":"additional","affiliation":[{"name":"Anna Hospital Geldrop The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Toine","family":"Lim","sequence":"additional","affiliation":[{"name":"Anna Hospital Geldrop The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jorgen Antonin","family":"Wullems","sequence":"additional","affiliation":[{"name":"Anna Hospital Geldrop The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kris Christiaan","family":"Vissers","sequence":"additional","affiliation":[{"name":"Radboudumc Medical Center Nijmegen the 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