Evidence map›Paper›PMID 31157145›Full record

ArticleGlobal spine journal2019

Cell Therapy for Treatment of Intervertebral Disc Degeneration: A Systematic Review.

Hans-Joerg Meisel, Neha Agarwal, Patrick C Hsieh, Andrea Skelly, Jong-Beom Park, Darrel Brodke, Jeffrey C Wang, S Tim Yoon, Zorica Buser

Open access · goldAbstract read
In one paragraph

Article in Global spine journal, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers.

0numbers the graph read from it
0cells of the map it votes in
37citing papers in PubMed
5.7field-weighted citation impact, top 3% 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

37 citing papers in PubMed, 59 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Review
  6. Article
  7. Tissue engineering strategies for treating intervertebral disc degeneration.Frontiers in bioengineering and biotechnology · 2025
    Review
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Mesenchymal stem cells and their microenvironment.Stem cell research & therapy · 2022
    Review
  19. Review
  20. 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

9 authors at 5 institutions in 3 countries.

Hans-Joerg MeiselBG Klinikum Bergmannstrost, Halle, Germany.
Neha AgarwalBG Klinikum Bergmannstrost, Halle, Germany.
Patrick C HsiehUniversity of Southern California, Los Angeles, CA, USA.
Andrea SkellyAggregate Analytics, Kirkland, WA, USA.
Jong-Beom ParkUijongbu St. Mary's Hospital, The Catholic University of Korea, Uijongbu, Republic of Korea.
Darrel BrodkeUniversity of Utah, Salt Lake City, UT, USA.
Jeffrey C WangUniversity of Southern California, Los Angeles, CA, USA.
S Tim YoonEmory University, Atlanta, GA, USA.
Zorica BuserUniversity of Southern California, Los Angeles, CA, USA.
University of Southern California · USBG Klinikum Bergmannstrost Halle · DEEmory University · USThe Catholic University of Korea Uijeongbu St. Mary's Hospital · KRUniversity of Utah · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

STUDY

designSystematic review.

objectiveTo review, critically appraise, and synthesize evidence on use of cell therapy for intervertebral disc repair.

methodsA systematic search of PubMed/MEDLINE was conducted for literature published through October 31, 2018 and EMBASE and ClinicalTrials.gov databases through April 13, 2018 comparing allogenic or autologous cell therapy for intervertebral disc (IVD) repair in the lumbar or cervical spine. In the absence of comparative studies, case series of ≥10 patients were considered.

resultsFrom 1039 potentially relevant citations, 8 studies across 10 publications on IVD cell therapies in the lumbar spine met the inclusion criteria. All studies were small and primarily case series. For allogenic cell sources, no difference in function or pain between mesenchymal cell treatment and sham were reported in 1 small randomized controlled trial; 1 small case series reported improved function and pain relative to baseline but it was unclear if the change was clinically significant. Similarly for autologous cell sources, limited data across case series suggest pain and function may be improved relative to baseline; whether the changes were clinically significant was not clear. Safety data was sparse and poorly reported. The need for subsequent surgery was reported in 3 case-series studies ranging from 6% to 80%.

conclusionsThe overall strength of evidence for efficacy and safety of cell therapy for lumbar IVD repair was very low primarily due to substantial risk of bias, small sample sizes and lack of a comparator intervention. Methodologically sound studies comparing cell therapies to other treatments are needed.

Indexed as

allograftcell-based therapyIVDlumbar spinemesenchymal stem cellssystematic review

Identifiers

PMID31157145
PMCPMC6512192
OpenAlexW2944788953

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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.