Evidence map›Paper›PMID 33978768›Full record

ArticleDer Radiologe2021

[CT-guided pain management of specific low back pain : Disc impairment vs. osseous degeneration].

Christoph A Stueckle, Sarah Talarczyk, Kerstin F Stueckle, Patrick Haage

Open access · hybridAbstract read
In one paragraph

Article in Der Radiologe, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
0.2field-weighted citation impact, top 45% 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

0 citing papers in PubMed, 1 citations in OpenAlex.

No citing paper in PubMed yet.

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

4 authors at 3 institutions in 1 country.

Christoph A StueckleFakultät für Gesundheit, Universität Witten/Herdecke, Witten, Deutschland. stueckle@mrt-dortmund.de.
Sarah TalarczykFakultät für Gesundheit, Universität Witten/Herdecke, Witten, Deutschland.
Kerstin F StueckleDeutsche Rentenversicherung Knappschaft Bahn-See, Bochum, Deutschland.
Patrick HaageFakultät für Gesundheit, Universität Witten/Herdecke, Witten, Deutschland.
Witten/Herdecke University · DEDeutsche Rentenversicherung Bund · DEHelios Universitätsklinikum Wuppertal · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundBack pain is common and leads the patient to the radiologist both for diagnosis and in specific cases for therapy.

objectivesThe current study compares the pain-reducing effect of microinvasive computed tomography (CT)-guided pain therapy for specific back pain caused by herniated discs or spondylarthrosis. MATERIALS AND

methodsOver a period of 3.3 years, a total of 239 patients were included, in whom 686 CT-guided periradicular therapies (PRT) and 264 CT-guided facet joint therapies (FAC) were performed. In all patients, the pain score was determined using a visual analog pain scale (VAS) before the intervention, during the course of treatment and at the end of treatment. Finally, treatment success was correlated to the type of treatment performed and to the morphological changes present.

resultsBoth groups showed good improvement of pain under treatment (74% of the PRT patients and 60% of the FAC patients). Patients who underwent PRT showed an average improvement in pain score of 3.1, while those who underwent FAC showed an average improvement of 2.1. The efficacy of FAC was dependent on the degree of degenerative changes present. The more extensive the proven degeneration was in the treated segment, the more interventions were necessary for a good treatment response.

conclusionCT-guided PRT and CT-guided FAC both lead to a good reduction of pain symptoms. In comparison, PRT achieves significantly higher pain reduction than FAC.

Indexed as

Intervertebral Disc DegenerationIntervertebral Disc DisplacementLow Back PainHumansLumbar VertebraePain ManagementTomography, X-Ray ComputedBack painComputed tomographyFacet therapyInterventionSpondylarthropathy

Identifiers

PMID33978768
PMCPMC8328855
OpenAlexW3175998337

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.