Evidence map›Paper›PMID 30186540›Full record

ArticlePain research & management2018

Transforaminal Epiduroscopic Basivertebral Nerve Laser Ablation for Chronic Low Back Pain Associated with Modic Changes: A Preliminary Open-Label Study.

Hyeun Sung Kim, Nitin Adsul, Farid Yudoyono, Byapak Paudel, Ki Joon Kim, Sung Ho Choi, Jeong Hoon Kim, Sung Kyun Chung, Jeong-Hoon Choi, Jee-Soo Jang and 2 more

Open access · goldAbstract read
In one paragraph

Article in Pain research & management, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 1 pooled it
2.0field-weighted citation impact, top 14% 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

22 citing papers in PubMed, 1 synthesis or guideline pooled it, 31 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

12 authors at 3 institutions in 2 countries.

Hyeun Sung KimDepartment of Neurosurgery, Nanoori Suwon Hospital, Suwon, Republic of Korea.ORCID 0000-0001-5361-5234
Nitin AdsulDepartment of Neurosurgery, Nanoori Suwon Hospital, Suwon, Republic of Korea.ORCID 0000-0002-2138-0538
Farid YudoyonoDepartment of Neurosurgery, Hasan Sadikin Hospital, College of Medicine, Universitas Padjadjaran, Bandung, Jawa Barat, Indonesia.
Byapak PaudelDepartment of Neurosurgery, Nanoori Suwon Hospital, Suwon, Republic of Korea.
Ki Joon KimDepartment of Neurosurgery, Nanoori Suwon Hospital, Suwon, Republic of Korea.
Sung Ho ChoiDepartment of Neurosurgery, Nanoori Suwon Hospital, Suwon, Republic of Korea.
Jeong Hoon KimDepartment of Neurosurgery, Nanoori Suwon Hospital, Suwon, Republic of Korea.
Sung Kyun ChungDepartment of Neurosurgery, Nanoori Suwon Hospital, Suwon, Republic of Korea.
Jeong-Hoon ChoiDepartment of Neurosurgery, Nanoori Suwon Hospital, Suwon, Republic of Korea.
Jee-Soo JangDepartment of Neurosurgery, Nanoori Suwon Hospital, Suwon, Republic of Korea.
Il-Tae JangDepartment of Neurosurgery, Nanoori Hospital, Seoul, Republic of Korea.
Seong-Hoon OhDepartment of Neurosurgery, Nanoori Incheon Hospital, Incheon, Republic of Korea.
Suwon Research Institute · KRDr. Hasan Sadikin General Hospital · IDIncheon Medical Center · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Chronic low back pain (CLBP) arising from degenerative disc disease continues to be a challenging clinical and diagnostic problem whether treated with nonsurgical, pain intervention, or motion-preserving stabilization and arthrodesis. Methods: Fourteen patients with CLBP, greater than 6 months, unresponsive to at least 4 months of conservative care were enrolled. All patients were treated successfully following screening using MRI findings of Modic type I or II changes and positive confirmatory provocative discography to determine the affected levels. All patients underwent ablation of the basivertebral nerve (BVN) using 1414 nm Nd:YAG laser-assisted energy guided in a transforaminal epiduroscopic approach. Macnab's criteria and visual analog scale (VAS) score were collected retrospectively at each follow-up interval. Results: The mean age was 46 ± 9.95 years. The mean symptoms duration was 21.21 ± 21.87 months. The mean follow-up was 15.3 ± 2.67 months. The preoperative VAS score of 7.79 ± 0.97 changed to 1.92 ± 1.38, postoperatively ( Conclusion: The transforaminal epiduroscopic basivertebral nerve laser ablation (TEBLA) appears to be a promising option in carefully selected patients with CLBP associated with the Modic changes.

Indexed as

AdultChronic PainEpidural SpaceFemaleFollow-Up StudiesHumansLaser TherapyLow Back PainLumbar VertebraeMagnetic Resonance ImagingMaleMiddle AgedPain MeasurementTreatment Outcome

Identifiers

PMID30186540
PMCPMC6112211
OpenAlexW2885615501

What OpenQuestion holds

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LicenceCC BY
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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.