Evidence map›Paper›PMID 24338702›Full record

ReviewCurrent pain and headache reports2014

Cervical radicular pain: the role of interlaminar and transforaminal epidural injections.

Laxmaiah Manchikanti, Frank J E Falco, Sudhir Diwan, Joshua A Hirsch, Howard S Smith

Registry-linked trialAbstract readReview
PubMed Publisher
In one paragraph

Review in Current pain and headache reports, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02226159 (Surgery Prevention by Transforaminal Injection of Epidural Steroids for Cervical Radicular Pain), which is not on this map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02226159 phase4completednot on this map

Surgery Prevention by Transforaminal Injection of Epidural Steroids for Cervical Radicular Pain (SPIES): a Randomized, Controlled Trial

TypeinterventionalSponsorOrthoCarolina Research Institute, Inc.Ran2014 to 2024Enrolled65ConditionsPain, RadiatingArmsLidocaine, Lidocaine with Dexamethasone
3 · Its place in the literature

Who cites it

16 citing papers in PubMed.

  1. Observational
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Observational
  12. Clinical Evidence of Chinese Massage Therapy (Evidence-based complementary and alternative medicine : eCAM · 2017
    Review
  13. Review
  14. Review
  15. Article
  16. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Laxmaiah ManchikantiPain Management Center of Paducah, 2831 Lone Oak Road, Paducah, KY, 42003, USA, drlm@thepainmd.com.
Frank J E Falco
Sudhir Diwan
Joshua A Hirsch
Howard S Smith

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Chronic neck pain and cervical radicular pain are relatively common in the adult population. Treatment for chronic radicular pain recalcitrant to conservative management includes surgical management as well as interventional techniques with epidural injections utilizing either an interlaminar approach or transforaminal approach. Although there have been multiple systematic reviews and randomized clinical trials of cervical interlaminar epidural injections, the literature is sparse in reference to cervical transforaminal epidural injections. Overall, there is good evidence for the effectiveness of cervical interlaminar epidural injections in managing cervical disc herniation and fair evidence in managing central spinal stenosis and postsurgery syndrome. The evidence is poor, however, for cervical transforaminal epidural injections. Complications with cervical interlaminar epidural injections are rare, but more commonly occur with transforaminal epidural injections and can be fatal. Emerging concepts in pain include further randomized trials; proper placebo design; focus on control design (either active control or placebo control); and appropriate methodologic quality assessment and evidence synthesis.

Indexed as

Adrenal Cortex HormonesAdultAnti-Inflammatory AgentsCervical VertebraeChronic PainEvidence-Based MedicineFemaleHumansInjections, EpiduralIntervertebral Disc DegenerationMaleNeck PainNerve BlockPain MeasurementQuality Assurance, Health CareRadiculopathyAdrenal Cortex HormonesAnti-Inflammatory Agents

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.