Evidence map›Paper›PMID 28182130›Full record

ArticleJournal of pain research2017

Therapeutic effect of epidural hyaluronic acid in a rat model of foraminal stenosis.

Francis Sahngun Nahm, Pyung Bok Lee, Ghee Young Choe, Young Jin Lim, Yong Chul Kim

Open access · goldAbstract read
In one paragraph

Article in Journal of pain research, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
0.9field-weighted citation impact, top 27% of its field
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 18 citations in OpenAlex.

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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 at 3 institutions in 2 countries.

Francis Sahngun NahmDepartment of Anesthesiology and Pain Medicine.
Pyung Bok LeeDepartment of Anesthesiology and Pain Medicine.
Ghee Young ChoeDepartment of Pathology, Seoul National University Bundang Hospital, Seongnam-si.
Young Jin LimDepartment of Anesthesiology and Pain Medicine, Seoul National University Hospital, Seoul, Republic of Korea.
Yong Chul KimDepartment of Anesthesiology and Pain Medicine, Seoul National University Hospital, Seoul, Republic of Korea.
Pain and Rehabilitation Medicine · USSeoul National University Hospital · KRSeoul National University Bundang Hospital · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeSince receiving a warning from the US Food and Drug Administration (FDA) about injection of corticosteroids into the epidural space having serious adverse events, we have sought alternative medications for injection at this site. Hyaluronic acid (HA) has anti-adhesive, anti-inflammatory, and lubricating properties, so could potentially be useful for spinal pain. The exact mechanism by which spinal stenosis develops is not fully understood, but is likely to involve inflammation. Therefore, we hypothesized that HA could have a therapeutic effect in spinal stenosis. This study evaluated the effects of epidural administration of HA on alleviation of pain in a rat model of foraminal stenosis. MATERIALS AND

methodsAfter creating the animal model, HA (HA group) or saline solution (S group) was administered via an epidural catheter. The paw-withdrawal threshold to mechanical stimulation and motor dysfunction were monitored for up to 21 days. Tissue was collected to evaluate the degree of adhesion, inflammation in the perineural area, and chromatolysis in the dorsal root ganglion (DRG).

resultsThe mechanical withdrawal threshold was restored in the HA group but not in the S group (

conclusionHA administered epidurally had a therapeutic effect on the allodynia and hyperalgesia induced by chronic compression of the DRG.

Indexed as

adhesionepiduralfibrosishyaluronic acidinflammationpainspinal stenosis

Identifiers

PMID28182130
PMCPMC5279814
OpenAlexW2580787962

What OpenQuestion holds

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Registered trials

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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.