Evidence map›Paper›PMID 40198365›Full record

Observational studyNeuroradiology2025

Long-term clinical efficacy of radioplaque gelified ethanol for lumbar disc herniation: a multicenter study.

Stefano Marcia, Joshua Adam Hirsch, Matteo Bellini, Luca Saba, Margherita Di Stefano, Emanuele Piras, Chiara Zini

Erratum issuedAbstract readMulticenter StudyObservational Study
PubMed Publisher
In one paragraph

Observational study in Neuroradiology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors.

Stefano MarciaUOC Radiologia SS. Trinità Hospital, Cagliari, Italy.
Joshua Adam HirschMassachusetts General Hospital, Boston, USA.
Matteo BelliniAzienda Ospedaliera Universitaria Senese, Siena, Italy.
Luca SabaAzienda Ospedaliero-Universitaria Cagliari, Cagliari, Italy.
Margherita Di StefanoAzienda Ospedaliera Universitaria Senese, Siena, Italy.
Emanuele PirasUOC Radiologia SS. Trinità Hospital, Cagliari, Italy.
Chiara ZiniAzienda Usl Toscana Centro, Firenze, Italy. zini.chiara@gmail.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

background and purposeDegenerative and/or herniated discs are a global cause of chronic lower back and neck pain. While multiple treatments exist, the research for long-term effective interventions with minimal side effects continues. The radioplaque gelified ethanol (RGE) (DiscoGel

methodsIn this bi-centric observational study, patients treated with RGE in the lumbar spine between 2009 and 2011 were evaluated based on specific inclusion and exclusion criteria. Collected data encompassed preoperative imaging, VAS pain scores, ODI functional scores, were recorded through 10-year follow-up.

resultsFifty-two participants (26 males and 26 females) with an average age of 51.7 years were enrolled in the study. Ten years after treatment, there was a statistically significant improvement in VAS pain scores and ODI percentages (p < 0.01). Additionally, significant changes in anterior, medial, and posterior disc dimensions were observed, suggesting structural adaptations due to RGE treatment. A statistically significant difference in the anterior dimension of the treated disc was found 10 years postoperatively compared to preoperative measurements (p = 0.0011).

conclusionRGE is a promising therapeutic choice for lumbar symptomatic herniation resistant to conservative treatments, offering both immediate relief and enduring benefits. Although our findings are promising, additional randomized controlled trials are essential to compare DiscoGel

Indexed as

EthanolIntervertebral Disc DisplacementLumbar VertebraeAdultFemaleGelsHumansMaleMiddle AgedPain MeasurementTreatment OutcomeEthanolGelsDisc degenerationDisc herniationLow back painRadioplaque gelified ethanol

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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.