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Effect of mecobalamin dispersible tablets and surgical treatment on nerve conduction velocity and skin sympathetic reflex in cervical spondylotic radiculopathy patients


YouWei Guo
WeiMing Xu
Bin Liu
Shuai Xu
Wei Wang
XingDa Guo
Gang Liu
EnHeJiRiGaLa

Abstract

Purpose: To investigate the effect of mecobalamin dispersible tablets and surgical treatment on nerve conduction velocity and skin  sympathetic reflex in patients with cervical spondylotic radiculopathy (CSR).


Methods: 82 patients diagnosed with CSR between February 2019 and January 2022 in Inner Mongolia Medical University School of Basic  Medicine, Hohhot City, China were randomized into control and study groups comprising 41 patients each. The control group was treated  with anterior cervical diskectomy and fusion, while the study group was treated with mecobalamin dispersible tablets in addition to surgery. Efficacy was assessed 3 months after surgery.


Results: Efficacy in the study group was significantly higher than in the control  group (p < 0.05). Furthermore, the study group had significantly greater motor and sensory nerve conduction velocity of the median and  ulnar nerve as well as reduced initial wave latency (p < 0.05). Scores of subjective symptoms, clinical signs, and life-work-social  adaptability were significantly higher in the study group than in the control group (p < 0.05). Range of motion of the neck significantly  improved and brainderived neurotrophic factor and glial neurotrophic factor were significantly increased in the study group compared to  control group (p < 0.05).


Conclusion: Mecobalamin dispersible tablets in combination with surgery improve nerve conduction velocity,  skin sympathetic reflex function, neurotrophic factor level, cervical motion, and cervical spine function in patients with CSR.  Multicenter long-term controlled studies with larger sample sizes are required in future studies.    


Journal Identifiers


eISSN: 1596-9827
print ISSN: 1596-5996