Pain-free survival after endoscopic neurotomy versus radiofrequency ablation of the C2 dorsal root ganglion for cervicogenic headache: a real-world comparison study - Takeaways - MDSpire

Pain-free survival after endoscopic neurotomy versus radiofrequency ablation of the C2 dorsal root ganglion for cervicogenic headache: a real-world comparison study

  • By

  • Yunjian Huang

  • Shiyun Xu

  • Siyi Liu

  • Wancheng Zheng

  • Zaiying Jiang

  • Xiangdong Wan

  • Xiangyu Zhang

  • Tao Du

  • Guang Lu

  • Bing Ni

  • Hongwei Zhu

  • June 8, 2026

  • 0 min

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  • 1

    Endoscopic neurotomy (EN) and radiofrequency ablation (RFA) were compared for long-term pain relief in cervicogenic headache (CEH) patients.

  • 2

    Both EN and RFA significantly reduced pain and improved quality of life at 3 and 12 months postoperatively compared to baseline.

  • 3

    EN demonstrated superior effectiveness over RFA at 12 months, with longer median pain-free duration of 33 months versus 8 months.

  • 4

    Patient Global Impression of Change (PGIC) favored EN at both 3 and 12 months, indicating better overall patient satisfaction.

  • 5

    No serious adverse events occurred, but occipital-distribution numbness was reported in both treatment groups.

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