Evidence map›Paper›PMID 33239905›Full record

ArticleJournal of pain research2020

The Efficacy of Therapeutic Selective Nerve Block in Treating Lumbar Radiculopathy and Avoiding Surgery.

Tareq Kanaan, Rami Abusaleh, Jumanah Abuasbeh, Maryam Al Jammal, Sara Al-Haded, Sara Al-Rafaiah, Ali Kanaan, Fatima Alnaimat, Lubna Khreesha, Fadi Al Hadidi and 1 more

Open access · goldAbstract read
In one paragraph

Article in Journal of pain research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 1 pooled it
2.3field-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.

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

21 citing papers in PubMed, 1 synthesis or guideline pooled it, 33 citations in OpenAlex.

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  12. Functional Outcomes of Therapeutic Selective Nerve Root Block for Single-Segment Lumbar Spinal Stenosis: A Retrospective Study.Medical science monitor : international medical journal of experimental and clinical research · 2024
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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

11 authors at 1 institution in 1 country.

Tareq KanaanDivision of Neurosurgery & Spine Unit, Special Surgery Department, University of Jordan, Amman, Jordan.ORCID 0000-0001-9563-3684
Rami AbusalehSchool of Medicine, University of Jordan, Amman, Jordan.ORCID 0000-0002-3385-530X
Jumanah AbuasbehSchool of Medicine, University of Jordan, Amman, Jordan.ORCID 0000-0002-0650-6542
Maryam Al JammalSchool of Medicine, University of Jordan, Amman, Jordan.ORCID 0000-0002-7840-342X
Sara Al-HadedSchool of Medicine, University of Jordan, Amman, Jordan.ORCID 0000-0002-3963-4401
Sara Al-RafaiahSchool of Medicine, University of Jordan, Amman, Jordan.ORCID 0000-0002-0455-9595
Ali KanaanSchool of Medicine, University of Jordan, Amman, Jordan.ORCID 0000-0001-6280-1872
Fatima AlnaimatInternal Medicine Department, University of Jordan, Amman, Jordan.ORCID 0000-0002-5574-2939
Lubna KhreeshaSpecial Surgery Department, University of Jordan, Amman, Jordan.
Fadi Al HadidiDivision of Orthopedic Surgery & Spine Unit, Special Surgery Department, University of Jordan, Amman, Jordan.
Qussay Al-SabbaghDivision of Neurosurgery & Spine Unit, Special Surgery Department, University of Jordan, Amman, Jordan.
University of Jordan · JO

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSelective nerve root block (SNRB) is a procedure that can be used as a diagnostic or a therapeutic method. SNRB can be used in multiple sites, including cervical and lumbar . Our study aims to investigate the clinical effectiveness of the use of fluoroscopically guided therapeutic selective nerve root block as a non-surgical symptom management of lumbar radiculopathy. PATIENTS AND

methodsThis is a prospective study of therapeutic nerve root block in 76 patients with low back pain and/or sciatica at Jordan University Hospital. Data was collected by independent clinical interviewers, and visual analogue score (VAS) was used to measure pain severity.

resultsA total of 76 patients, 25 (32.8%) males and 51 (67.2%) females, underwent SNRB. 69 (90.7%) patients improved immediately after the procedure. Out of the total, 22 (28.9%) patients showed a long-term relief of symptoms and did not experience any recurrence during the three months of follow-up, while 47 (61.8%) experienced a recurrence of pain. In patients experiencing recurrence of symptoms, 35 needed surgery.

conclusionTherapeutic SNRB is an important procedure in the pain management of patients with lumbar radiculopathy caused by lumbar disc prolapse and foraminal stenosis. Our study showed that avoidance of surgery was achieved in up to 54% of patients; pain relief for at least 6 months was achieved in up to 29% of patients after a single SNRB. This makes it a very good second line of management after conservative treatment and a possible method to delay, and sometimes cease, the need for surgery.

Indexed as

facet jointLDPlumbar disc herniationlumbar disc prolapseperi-radicular therapyPRTsacroiliac jointsciaticaSIJ

Identifiers

PMID33239905
PMCPMC7680787
OpenAlexW3106253015

What OpenQuestion holds

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LicenceCC BY-NC
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.