Evidence map›Paper›PMID 40920478›Full record

Observational studyPain management2025

Epiduroscopy in spinal stenosis. Description of the procedure and safety measures to reduce complications.

Eva M Monzón, Alberto Rios, Javier Carrascoso, Pedro Moreno, David Abejón

Registry-linked trialAbstract readObservational Study
In one paragraph

Observational study in Pain management, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03863067 (Assessment Of Clinical Effectiveness, Security And Correlation With Radiological Changes In Patients With Lumbar Stenosis Treated With Epiduroscopy), which is not on this map. Not yet cited in PubMed.

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

NCT03863067 nacompletednot on this map

Assessment Of Clinical Effectiveness, Security And Correlation With Radiological Changes In Patients With Lumbar Stenosis Treated With Epiduroscopy

TypeinterventionalSponsorInstituto de Investigación Sanitaria de la Fundación Jiménez DíazRan2018 to 2022Enrolled40ConditionsSpinal Stenosis, Lumbar Region, With Neurogenic ClaudicationArmsEpiduroscopy
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

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

5 authors.

Eva M MonzónPain Management Unit, Hospital Universitario Quirónsalud Madrid, Madrid, Spain.ORCID 0000-0001-5101-1058
Alberto RiosPain Management Unit, Complejo Hospitalario Ruber Juan Bravo, Madrid, Spain.ORCID 0000-0003-1305-5038
Javier CarrascosoDiagnostic Imaging Department, Hospital Universitario Quirónsalud Madrid, Madrid, Spain.ORCID 0009-0008-9424-2292
Pedro MorenoNeurophysiology Department, Hospital Universitario Quirónsalud Madrid, Madrid, Spain.ORCID 0000-0003-3133-8023
David AbejónPain Management Unit, Hospital Universitario Quirónsalud Madrid, Madrid, Spain.ORCID 0000-0002-4654-667X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsThe aim of this observational study is to describe the use of epiduroscopy to decrease the enlargement of the ligamentum flavum (LF) in patients with spinal stenosis, as well as the selection of the appropriate patient and the safety measures that enhance procedural success. MATERIALS &

methodsWe introduce the patient selection protocol, define the appropriate indication and the safety measures to use the epiduroscopy as a tool to decrease the size of the LF and increase space, reducing possible complications.

resultsAmong patients included in the study, there were no cases of access difficulty or coccydynia, and one case of urinary incontinence occurred in a patient with Schizas grade D (very severe) stenosis. In patients with grade C or lower stenosis, we have not found any case of sphincter incontinence.In four patients, we found paresthesias and in one patient a transient increase in pain. Dural puncture was performed in three patients, none developed headache.

conclusionsExclusion of patients with very severe canal stenosis according to magnetic resonance imaging (MRI) criteria, the use of sacral hiatus measurements and the neurophysiological monitoring helps diminish the occurrence of neurological complications of epiduroscopy in patients with spinal stenosis. CLINICAL

trial registrationhttps://www.clinicaltrials.gov identifier is NCT03863067.

Indexed as

Epidural SpaceLigamentum FlavumSpinal StenosisAgedFemaleHumansMagnetic Resonance ImagingMaleMiddle Agedchronic painendoscopyligamentum flavumlow back painSpinal stenosis

Identifiers

PMID40920478
PMCPMC12562675

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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.