Evidence map›Paper›PMID 29177632›Full record

ArticleJournal of experimental orthopaedics2017

The use of lumbar epidural injection of platelet lysate for treatment of radicular pain.

Christopher Centeno, Jason Markle, Ehren Dodson, Ian Stemper, Matthew Hyzy, Christopher Williams, Michael Freeman

5 registry-linked trialsOpen access · goldAbstract read
In one paragraph

Article in Journal of experimental orthopaedics, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 5 registered trials, which are not on this map. Cited by 32 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed, 4 pooled it
2.2field-weighted citation impact, top 12% 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.

NCT03801512 naunknown statusnot on this mapstarted 2019, after this paper: background citation

Comparing the Efficacy of Transforaminal Epidural Injections, Acupuncture and Platelet Rich Plasma Injection in Patients With Sciatica Due to Intervertebral Disc Herniation, Spinal Stenosis and Spondylolisthesis

TypeinterventionalSponsorTaipei Medical University HospitalRan2019 to 2025Enrolled90ConditionsSciaticaArmsSteroid, Acupuncture, Platelet Rich Plasma
NCT04487691 naterminatednot on this mapstarted 2020, after this paper: background citation

Autologous Nebulized Platelet Lysate for Post COVID-19 Syndrome

TypeinterventionalSponsorRegenexx, LLCRan2020 to 2021Enrolled1ConditionsCovid19ArmsNebulized Platelet Lysate, Nebulized Sterile Saline
NCT05234840 nacompletednot on this mapstarted 2019, after this paper: background citation

"Platelet-Rich Plasma" Transforaminal Epidural Injection an Emerging Strategy in Lumbar Disc Herniation

TypeinterventionalSponsorQueen Savang Vadhana Memorial Hospital, ThailandRan2019 to 2021Enrolled30ConditionsPRPArmsplatelet rich plasma, Triamcinolone
NCT05287867 narecruitingnot on this mapstarted 2022, after this paper: background citation

A Trial of Platelet Injections for Treatment of Painful Degenerative Disc Disease

TypeinterventionalSponsorRegenexx, LLCRan2022 to 2026Enrolled42ConditionsDegenerative Disc DiseaseArmsPlatelet-rich plasma (PRP), Platelet lysate (PL), and Platelet Poor Plasma (PPP), Sham procedure
NCT06924853 naterminatednot on this mapstarted 2025, after this paper: background citation

Single-Blind, Randomized, Controlled, Crossover Study of Autologous Platelet Lysate Versus Saline in Adults With Lumbosacral Radiculopathy

TypeinterventionalSponsorRegenexx, LLCRan2025 to 2025Enrolled2ConditionsLumbosacral Radiculopathy, Lumbar RadiculopathyArmsPlatelet lysate, Saline control
3 · Its place in the literature

Who cites it

32 citing papers in PubMed, 4 syntheses or guidelines pooled it, 65 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

7 authors at 3 institutions in 3 countries.

Christopher CentenoCenteno-Schultz Clinic, Broomfield, CO, 80021, USA.
Jason MarkleCenteno-Schultz Clinic, Broomfield, CO, 80021, USA.
Ehren DodsonCenteno-Schultz Clinic, Broomfield, CO, 80021, USA. edodson@regenexx.com.ORCID http://orcid.org/0000-0002-5808-6068
Ian StemperRegenexx, LLC, Des Moines, IA, 50321, USA.
Matthew HyzyCenteno-Schultz Clinic, Broomfield, CO, 80021, USA.
Christopher WilliamsCenteno-Schultz Clinic, Broomfield, CO, 80021, USA.
Michael FreemanCAPHRI School of Public Health and Primary Care, Maastricht University, Maastricht, Netherlands.
Centeno-Schultz Clinic · USTalaris Therapeutics (United States) · USMaastricht University · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEpidural steroid injections (ESI) are the most common pain management procedure performed in the US, however evidence of efficacy is limited. In addition, there is early evidence that the high dose of corticosteroids used can have systemic side effects. We describe the results of a case series evaluating the use of platelet lysate (PL) epidural injections for the treatment of lumbar radicular pain as an alternative to corticosteroids.

methodsRegistry data was obtained for patients (N = 470) treated with PL epidural injections presenting with symptoms of lumbar radicular pain and MRI findings that were consistent with symptoms. Collected outcomes included numeric pain score (NPS), functional rating index (FRI), and a modified single assessment numeric evaluation (SANE) rating.

resultsPatients treated with PL epidurals reported significantly lower (p < .0001) NPS and FRI change scores at all time points compared to baseline. Post-treatment FRI change score means exceeded the minimal clinically important difference beyond 1 month. Average modified SANE ratings showed 49.7% improvement at 24 months post-treatment. Twenty-nine (6.3%) patients reported mild adverse events related to treatment.

conclusionPatients treated with PL epidurals reported significant improvements in pain, exceeded the minimal clinically important difference (MCID) for FRI, and reported subjective improvement through 2-year follow-up. PL may be a promising substitute for corticosteroid.

Indexed as

Back painCorticosteroidsLumbarPlatelet lysateRadicularRegenerativeSpineSteroids

Identifiers

PMID29177632
PMCPMC5701904
OpenAlexW2770435405

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.