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Cited by 90Pain Management and TreatmentAnesthesia and Pain ManagementSpine and Intervertebral Disc Pathology

The DOI matches its Crossref record; 46 of the 46 references it cites were found in a registry or an index.

The treatment of chronic thoracic segmental pain by radiofrequency percutaneous partial rhizotomy

Stolker, Robert J., Vervest, Arnoud C. M., Groen, Gerbrand J.·1994·Journal of Neurosurgery
DOI 10.3171/jns.1994.80.6.0986
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Abstract

✓ Forty-five patients, 12 men and 33 women with an age range of 17 to 88 years (median 52 years), were selected for a posterior thoracic percutaneous partial rhizotomy (PPR) based on the following criteria. Each patient had at least a 6-month history of irradiating pain that followed the segmental pattern of an intercostal nerve and had not responded to conservative treatment. In addition, no causal treatment was available and there was a temporary positive response to an intercostal blockade with lidocaine. In the lower thoracic region (T8–12) PPR was performed with the usual dorsolateral technique; in the upper thoracic region a dorsal approach was used by means of a drill hole made with a Kirschner wire in the vertebral arch. The 45 patients underwent 53 thoracic PPR operations. Patients were evaluated 2 months after treatment. Thirty patients (66.7%) were pain-free: in 11 cases (24.4%) more than 50% improvement was achieved, and in four (8.9%) there was no improvement. Side effects consisting of a transient burning pain or a mild transient sensory loss occurred in eight patients (17.7%). After a follow-up period of 13 to 46 months (median 24 months) results were evaluated in 41 patients; five patients had undergone reintervention. Excellent long-term results were achieved in 20 patients (48.8%), good results in 15 (36.6%), and poor results in six (14.6%). It is concluded, that when conservative treatment fails, thoracic PPR may prove an effective and safe treatment for chronic segmental thoracic pain.

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Crossref · 10.3171/jns.1994.80.6.0986

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Show all 46 references

Research works printed but not linked: 15

  1. Cosman ER, 1985, Neurosurgery., 2490
  2. Dubuisson D, 1989, Textbook of Pain., 784
  3. Echols DH, 1970, Neurochirurgia, 13, 69
  4. Groen GJ, 1992, Der Schmerz, 6, S5
  5. Lazorthes Y, 1976, Neurochirurgie, 22, 445
  6. Loeser JD, 1983, Adv Pain Res Ther, 5, 701
  7. Niv D, 1992, Pain Clin, 5, 229
  8. Pagura JR, 1983, Appl Neurophysiol, 46, 138
  9. Uematsu S, 1974, Surg Neurol, 2, 319
  10. Verdie JC, 1982, Nouv Presse Méd, 11, 2131
  11. Vervest ACM, 1991, Pain Clin, 4, 103
  12. Vervest ACM, 1993, Pain Clin, 6, 83
  13. White JC, 1973, Neurochirurgia, 16, 141
  14. Wood KM, 1989, Textbook of Pain., 768
  15. Young RF, 1990, Neurological Surgery, 6, 4026

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Metadata

Authors
Stolker, R. J., Vervest, A. C. M., & Groen, G. J.
Affiliations
University Medical Center Utrecht (NL)
ORCID
Venue
Journal of Neurosurgery
Publisher
Journal of Neurosurgery Publishing Group (JNSPG)
Published
1994-06
Volume
80
Issue
6
Pages
986-992
ISSN
0022-3085 (ISSN-L)
DOI
10.3171/jns.1994.80.6.0986
OpenAlex
W2154418276
Cited by
90
References
46
Citations by year
2026: 1 · 2025: 1 · 2024: 3 · 2023: 2 · 2021: 5 · 2020: 1 · 2019: 1 · 2018: 4 · 2017: 2 · 2016: 2 · 2015: 5 · 2013: 5 · 2012: 5
FWCI
1.68
Type
journal article
Language
en
Open access
closed
Locations
  • Journal of neurosurgery (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Anesthesiology and Pain Medicine › Pain Management and Treatment
  • Health Sciences › Medicine › Anesthesiology and Pain Medicine › Anesthesia and Pain Management
  • Health Sciences › Medicine › Orthopedics and Sports Medicine › Spine and Intervertebral Disc Pathology
Keywords
intercostal nerves, thoracic spine, intercostal nerve block, long-term outcomes, surgical complications, conservative treatment failure
MeSH terms
Adolescent, Adult, Aged, Aged, 80 and over, Chest Pain, Chronic Disease, Evaluation Studies as Topic, Female, Follow-Up Studies, Humans, Intercostal Nerves, Male, Middle Aged, Nerve Block, Spinal Nerve Roots, Catheter Ablation

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