Evidence map›Paper›PMID 39627478›Full record

ArticleClinical rheumatology2025

Effectiveness of ozone nucleolysis in alleviating pain and enhancing function in lumbar sciatica due to disc herniation: a minimally invasive approach.

Abdelkader Kharrat, Najah Elmounedi, Mohamed Ali Tmar, Walid Bahloul, Ahmed Racem Guidara, Achraf Lajmi, Nizar Sahnoun, Moez Trigui, Zoubaier Ellouz, Hassib Keskes

Abstract read
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In one paragraph

Article in Clinical rheumatology, 2025. 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. Pooled it
  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

10 authors.

Abdelkader KharratRheumatologist Private Practitioner in Sfax, Sfax, Tunisia.
Najah ElmounediCell Therapy and Experimental Surgery of Musculoskeletal System LR18SP11 Lab, Medicine Faculty of Sfax, University of Sfax, Majida Boulila Road, 3029, Sfax, Tunisia. najah.mounedi12@gmail.com.ORCID http://orcid.org/0000-0003-2861-0428
Mohamed Ali TmarDepartment of Orthopedics and Traumatology, CHU Habib Bourguiba, Sfax, Tunisia.
Walid BahloulDepartment of Orthopedics and Traumatology, CHU Habib Bourguiba, Sfax, Tunisia.
Ahmed Racem GuidaraCell Therapy and Experimental Surgery of Musculoskeletal System LR18SP11 Lab, Medicine Faculty of Sfax, University of Sfax, Majida Boulila Road, 3029, Sfax, Tunisia.
Achraf LajmiDepartment of Orthopedics and Traumatology, CHU Habib Bourguiba, Sfax, Tunisia.
Nizar SahnounCell Therapy and Experimental Surgery of Musculoskeletal System LR18SP11 Lab, Medicine Faculty of Sfax, University of Sfax, Majida Boulila Road, 3029, Sfax, Tunisia.
Moez TriguiDepartment of Orthopedics and Traumatology, CHU Habib Bourguiba, Sfax, Tunisia.
Zoubaier EllouzCell Therapy and Experimental Surgery of Musculoskeletal System LR18SP11 Lab, Medicine Faculty of Sfax, University of Sfax, Majida Boulila Road, 3029, Sfax, Tunisia.
Hassib KeskesCell Therapy and Experimental Surgery of Musculoskeletal System LR18SP11 Lab, Medicine Faculty of Sfax, University of Sfax, Majida Boulila Road, 3029, Sfax, Tunisia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesOzone (O MATERIALS AND

methodsThis study included 34 patients (15 males, 19 females; age range 17-76, average age 46.7 ± 11.2 years) treated between April 2018 and May 2022. A single dose of an O

resultsVAS scores indicated pain improvement in 85% of patients, with 82% achieving satisfactory outcomes per modified MacNab criteria. Patients under 50 years of age showed greater responsiveness to ozone therapy. Central LDH responded more favorably than larger foraminal herniations, and hernias with a larger surface area than the average also showed better outcomes. No complications were observed.

conclusionOzone therapy is a cost-effective, simple, and safe minimally invasive technique that provides significant pain relief and functional improvement. It may be a reliable and competitive treatment option for patients with persistent symptoms after conservative treatment and before considering surgical intervention. Key Points •Ozone nucleolysis provides a minimally invasive treatment for lumbosciatica with reduced recovery time. •Injecting oxygen-ozone into the disc decreases its volume and inflammation, easing nerve pressure. •Initial results show significant pain relief and improved mobility in patients following treatment. •This method appears safe, with fewer complications than traditional surgery for herniated discs.

Indexed as

Intervertebral Disc ChemolysisIntervertebral Disc DisplacementOzoneSciaticaAdolescentAdultAgedFemaleHumansLumbar VertebraeMagnetic Resonance ImagingMaleMiddle AgedMinimally Invasive Surgical ProceduresPain MeasurementPatient SatisfactionOzoneLumbar disc herniationMRIOxygen-ozone therapyPain score

Identifiers

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Registered trials

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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.