Evidence map›Paper›PMID 40760167›Full record

ReviewOrthopadie (Heidelberg, Germany)2025

[Through the foramen to the nerve root : The new S3 Guideline Epidural Injections].

Stephan Klessinger, Martin Legat, Patrick Weidle

Abstract readEnglish AbstractReview
PubMed Publisher
In one paragraph

Review in Orthopadie (Heidelberg, Germany), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Article
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

3 authors.

Stephan KlessingerNeurochirurgie Biberach, Eichendorffweg 5, 88400, Biberach, Deutschland. klessinger@neurochirurgie-bc.de.
Martin LegatSchmerz Zentrum Zofingen, Zofingen, Schweiz.
Patrick WeidleKrankenhaus Neuwerk, Mönchengladbach, Deutschland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn a transforaminal injection, medication is administered to a nerve root through the neuroforamen. Since the position of the nerve root is intradural, the target is the epidural space. Anti-inflammatory medication is usually used. RADICULAR COMPLAINTS: In the case of radicular complaints caused by a herniated disc, there is a high level of evidence for the effectiveness of epidural injections. The needle position (supra- or infraneural) must be checked using imaging. The gold standard is fluoroscopy, but CT can also be used. The use of a non-particulate steroid is preferable due to the lower risk potential. The injection of a steroid into the epidural space is always an off-label therapy. After an intervention, it is necessary to examine the patient neurologically. It is only after 4 days that it is possible to assess whether long-term success has been achieved. A transforaminal injection can be repeated if a positive effect was achieved beforehand.

Indexed as

Intervertebral Disc DisplacementPractice Guidelines as TopicRadiculopathySpinal Nerve RootsAnti-Inflammatory AgentsHumansInjections, EpiduralAnti-Inflammatory AgentsDisk prolapseInjectionNerve blockSciaticaSteroid

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.