Evidence map›Paper›PMID 39318497›Full record

ArticleWorld journal of orthopedics2024

Conservative management of spinal pathology with autologous conditioned serum: A systematic review of the literature.

Christian J Rajkovic, Matthew L Merckling, Alyssa W Lee, Galadu Subah, Aryan Malhotra, Zachary D Thomas, Sabrina L Zeller, John V Wainwright, Merritt D Kinon

Abstract read
In one paragraph

Article in World journal of orthopedics, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–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

2 citing papers in PubMed.

  1. Trial
  2. Regenerative Medicine: The Next Generation of Autologous Blood Formulations.HSS journal : the musculoskeletal journal of Hospital for Special Surgery · 2025
    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.

Christian J RajkovicDepartment of Neurosurgery, Westchester Medical Center, Valhalla, NY 10595, United States. crajtkotp@gmail.com.
Matthew L MercklingDepartment of Neurosurgery, Westchester Medical Center, Valhalla, NY 10595, United States.
Alyssa W LeeDepartment of Neurosurgery, Westchester Medical Center, Valhalla, NY 10595, United States.
Galadu SubahDepartment of Neurosurgery, Westchester Medical Center, Valhalla, NY 10595, United States.
Aryan MalhotraDepartment of Neurosurgery, Westchester Medical Center, Valhalla, NY 10595, United States.
Zachary D ThomasDepartment of Neurosurgery, Westchester Medical Center, Valhalla, NY 10595, United States.
Sabrina L ZellerDepartment of Neurosurgery, Westchester Medical Center, Valhalla, NY 10595, United States.
John V WainwrightDepartment of Neurosurgery, Westchester Medical Center, Valhalla, NY 10595, United States.
Merritt D KinonDepartment of Neurosurgery, Westchester Medical Center, Valhalla, NY 10595, United States.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundChronic inflammatory pain is associated with increased expression of interleukin (IL)-1, an inflammatory cytokine, and activity on its receptor (IL-1R). In response, the body produces IL-1R antagonist (IL-1Ra) to reduce this signaling. Autologous conditioned serum (ACS) is the only biologic therapy for spinal pathologies that enhances the action of endogenous IL-1Ra reserves to improve symptoms. This systematic review investigates the effectiveness of ACS in treating pain and disability caused by spinal pathologies.

aimTo evaluate the use of ACS as a conservative management option for spinal pathology.

methodsA systematic review of PubMed/Medline was performed to identify studies investigating administration of ACS for treatment of any spinal pathology.

resultsSix articles were included, comprising 684 patients treated with epidural (

conclusionACS injection is a safe and effective intervention for pain reduction in many spinal pathologies, including cervical and lumbar radiculopathies.

Indexed as

Autologous conditioned serumEpidural steroid injectionInterleukin-1Interleukin-1 receptor antagonistOrthokineRegenokineSpine

Identifiers

PMID39318497
PMCPMC11417626

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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.