Evidence map›Paper›PMID 39239609›Full record

ArticleInterventional pain medicine2023

FactFinders for patient safety: Motor stimulation testing in lumbar radiofrequency neurotomy and radiofrequency neurotomy in patients with posterior hardware.

Mathew Saffarian, George Christolias, Vivek Babaria, Jaymin Patel, Minh C Nguyen, Clark C Smith, David C Miller, Zachary L McCormick, Spine Intervention Society's Patient Safety Committee

Abstract read
In one paragraph

Article in Interventional pain medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

4 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Guideline
  2. Article
  3. Article
  4. Review
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.

Mathew SaffarianMichigan State University, Department of Physical Medicine and Rehabilitation, East Lansing, MI, USA.
George ChristoliasColumbia University Medical Center, Rehabilitation and Regenerative Medicine, New York, NY, USA.
Vivek BabariaOrange County Spine and Sports, PC, Interventional Physiatry, Costa Mesa, CA, USA.
Jaymin PatelEmory University, Department of Orthopaedics, Atlanta, GA, USA.
Minh C NguyenUniversity of Texas Southwestern, Department of Physical Medicine and Rehabilitation, Dallas, TX, USA.
Clark C SmithColumbia University Medical Center, Rehabilitation and Regenerative Medicine, New York, NY, USA.
David C MillerQ C Kinetix, Denver, CO, USA.
Zachary L McCormickUniversity of Utah School of Medicine, Department of Physical Medicine & Rehabilitation, Salt Lake City, UT, USA.
Spine Intervention Society's Patient Safety Committee

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This series of FactFinders presents a brief summary of the evidence and outlines recommendations regarding the use of motor stimulation testing in lumbar radiofrequency neurotomy and performance of radiofrequency neurotomy in patients with posterior spinal hardware. The evidence in support of the following facts is presented: (1) Motor stimulation does not inherently protect against unwanted damage to the spinal nerve, exiting spinal nerve root or its ventral ramus due to a lack of sensitivity of this test for identification of electrode contact or close proximity to sensorimotor nerves. Even when motor stimulation is performed, verification of correct electrode placement with multiplanar imaging including a minimum of true anterior-posterior and lateral fluoroscopic views is a recommended safeguard. (2) The existence of posterior spinal hardware is not an absolute contraindication to radiofrequency neurotomy, but direct contact with hardware should be avoided.

Identifiers

PMID39239609
PMCPMC11372923

What OpenQuestion holds

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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.