Evidence map›Paper›PMID 36412047›Full record

ReviewGlobal spine journal2023

Non-Invasive Treatments for Failed Back Surgery Syndrome: A Systematic Review.

Giuseppe Francesco Papalia, Fabrizio Russo, Gianluca Vadalà, Giuseppe Pascarella, Sergio De Salvatore, Luca Ambrosio, Sara Di Martino, Davide Sammartini, Emanuele Sammartini, Massimiliano Carassiti and 2 more

Open access · goldAbstract readReview
In one paragraph

Review in Global spine journal, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
3.5field-weighted citation impact, top 7% 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

9 citing papers in PubMed, 20 citations in OpenAlex.

  1. Patterns of spinal injections following lumbar fusion surgery: a nationwide cohort study with 3-year follow-up.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2025
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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 1 institution in 1 country.

Giuseppe Francesco PapaliaDepartment of Orthopaedic and Trauma Surgery, Campus Bio-Medico University of Rome, Rome, Italy.ORCID 0000-0002-4140-738X
Fabrizio RussoDepartment of Orthopaedic and Trauma Surgery, Campus Bio-Medico University of Rome, Rome, Italy.
Gianluca VadalàDepartment of Orthopaedic and Trauma Surgery, Campus Bio-Medico University of Rome, Rome, Italy.
Giuseppe PascarellaUnit of Anaesthesia, Intensive Care and Pain Management, Department of Medicine, Campus Bio-Medico University of Rome, Rome, Italy.
Sergio De SalvatoreDepartment of Orthopaedic and Trauma Surgery, Campus Bio-Medico University of Rome, Rome, Italy.ORCID 0000-0002-9111-3638
Luca AmbrosioDepartment of Orthopaedic and Trauma Surgery, Campus Bio-Medico University of Rome, Rome, Italy.ORCID 0000-0003-2424-1274
Sara Di MartinoUnit of Anaesthesia, Intensive Care and Pain Management, Department of Medicine, Campus Bio-Medico University of Rome, Rome, Italy.
Davide SammartiniUnit of Anaesthesia, Intensive Care and Pain Management, Department of Medicine, Campus Bio-Medico University of Rome, Rome, Italy.
Emanuele SammartiniUnit of Anaesthesia, Intensive Care and Pain Management, Department of Medicine, Campus Bio-Medico University of Rome, Rome, Italy.
Massimiliano CarassitiUnit of Anaesthesia, Intensive Care and Pain Management, Department of Medicine, Campus Bio-Medico University of Rome, Rome, Italy.
Rocco PapaliaDepartment of Orthopaedic and Trauma Surgery, Campus Bio-Medico University of Rome, Rome, Italy.
Vincenzo DenaroDepartment of Orthopaedic and Trauma Surgery, Campus Bio-Medico University of Rome, Rome, Italy.
Università Campus Bio-Medico · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

STUDY

designSystematic Review.

objectivesThe aim of this systematic review is to evaluate the efficacy of non-invasive procedures in relieving chronic pain due to Failed Back Surgery Syndrome (FBSS).

methodsSince patients who suffered from FBBS are often non-responders to analgesics, we compared Visual Analogical Scale for low back and leg pain, Oswestry Disability Index, trial success rate, adverse events and complications between conservative treatment groups and control groups.

resultsThe included studies were 15. Spinal Cord Stimulation (SCS) was performed in 11 trials; 4 studies assessed the efficacy of different epidural injections; one study evaluated repetitive Transcranial Magnetic Stimulation. All the studies reported back and leg pain relief after treatment with SCS, with a significant superiority in high frequences (HFS) group, compared to low frequences (LFS) group. Moreover, disability decreased with each non-invasive treatment evaluated. Epidural injections of steroids and hyaluronidase have shown controversial results. Adverse events were described in 7 studies: lead migration, hardware-related events, infection and incisional pain were the most reported. Finally, trial success rate showed better outcomes for HFS.

conclusionsOur systematic review highlights the efficacy of conservative treatments in FBSS patients, with an improvement in pain scores and a decrease in disability index, especially after SCS with HFS. However, due to the lack of homogeneity among trials and population characteristics, further studies are needed to confirm the effectiveness of non-invasive interventions in patients affected by FBSS.

Indexed as

Failed back surgery syndromelow back painnon-invasive treatmentsspinal cord stimulationsystematic review

Identifiers

PMID36412047
PMCPMC10189334
OpenAlexW4309668365

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.