Evidence map›Paper›PMID 38389961›Full record

ReviewWorld neurosurgery: X2024

The role of conservative treatment in lumbar disc herniations: WFNS spine committee recommendations.

Onur Yaman, Artem Guchkha, Sandeep Vaishya, Mehmet Zileli, Corinna Zygourakis, Joachim Oertel

Registry-linked trialOpen access · goldAbstract readReview
In one paragraph

Review in World neurosurgery: X, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06956664 (Comparative Efficacy of Physiotherapeutic Exercise Regimens Implemented After Caudal Epidural Steroid Injection), which is not on this map. Cited by 24 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 1 pooled it
10.6field-weighted citation impact, top 1% 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.

NCT06956664 narecruitingnot on this mapstarted 2025, after this paper: background citation

Comparative Efficacy of Physiotherapeutic Exercise Regimens Implemented After Caudal Epidural Steroid Injection

TypeinterventionalSponsorÇankırı Karatekin UniversityRan2025 to 2026Enrolled42ConditionsIntervertebral Disc Displacement, Low Back Pain, RadiculopathyArmsConventional Physiotherapy, Aerobic Exercise Programme, Core-Stabilization Exercise Programme
3 · Its place in the literature

Who cites it

24 citing papers in PubMed, 1 synthesis or guideline pooled it, 25 citations in OpenAlex.

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  19. Effectiveness of Interventional Pain Management on Disc Herniation Resorption: Radiological Evidence.Acta informatica medica : AIM : journal of the Society for Medical Informatics of Bosnia & Herzegovina : casopis Drustva za medicinsku informatiku BiH · 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

6 authors at 6 institutions in 5 countries.

Onur YamanDepartment of Neurosurgery, Memorial Bahçelievler Hospital, Istanbul, Turkiye.
Artem GuchkhaDepartment of Neurosurgery, Research Center of Neurology, Moscow, Russia.
Sandeep VaishyaDepartment of Neurosurgery, Fortis Memorial Research Institute, Guragaon and Fortis Hospital Vasant Kunj, New Delhi, India.
Mehmet ZileliDepartment of Neurosurgery, Sanko University Faculty of Medicine, Gaziantep, Turkiye.
Corinna ZygourakisDepartment of Neurosurgery, Stanford University School of Medicine, Stanford, CA, USA.
Joachim OertelDepartment of Neurosurgery, Saarland University Medical Centre, Homburg, Germany.
Fortis Memorial Research Institute · INMemorial Sisli Hospital · TRResearch Center of Neurology · RUSaarland University · DESanko University · TRStanford University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: To formulate the most current, evidence-based recommendations for the conservative management of lumbar disc herniations (LDH). Methods: A systematic literatüre search was performed 2012-2022 in PubMed/Medline and Cochrane using the keywords ''lumbar disc herniation'' and ''conservative treatment,'' yielding 342 total manuscripts. Screening criteria resulted in 12 final manuscripts which were summarized and presented at two international consensus meetings of the World Federation of Neurosurgical Societies (WFNS) Spine Committee. The Delphi method was utilized to arrive at three final consensus statements. Results and conclusion: s: In the absence of cauda equina syndrome, motor, or other serious neurologic deficits, conservative treatment should be the first line of treatment for LDH. NSAIDs may significantly improve acute low back and sciatic pain caused by LDH. A combination of activity modification, pharmacotherapy, and physical therapy provides good outcomes in most LDH patients.

Indexed as

Conservative therapyLow back painLumbar disc herniationRadiculopathyWFNS spine committee

Identifiers

PMID38389961
PMCPMC10882128
OpenAlexW4391788310

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

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.