Evidence map›Paper›PMID 41159094›Full record

ArticleMedicine international

Comparative analysis of treatments for vertebrogenic chronic low back pain: Intradiscal steroid injections vs. basivertebral nerve radiofrequency ablation.

Evangelos Sakellariou, Panagiotis Karampinas, Athanasios Galanis, Evangelia Argyropoulou, Dimitris Tzortzis, Andreas Morakis, Nikolaos Parchas, Meletis Rozis, Vasileios Marougklianis, Angelos Kaspiris and 2 more

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In one paragraph

Article in Medicine international. 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. 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

12 authors.

Evangelos SakellariouDepartment of Orthopaedic Surgery, KAT General Hospital, National and Kapodistrian University of Athens, 14561 Athens, Greece.
Panagiotis KarampinasDepartment of Orthopaedic Surgery, KAT General Hospital, National and Kapodistrian University of Athens, 14561 Athens, Greece.
Athanasios GalanisDepartment of Orthopaedic Surgery, KAT General Hospital, National and Kapodistrian University of Athens, 14561 Athens, Greece.
Evangelia ArgyropoulouDepartment of Orthopaedics and Traumatology, University General Hospital of Patras, 26504 Patras, Greece.
Dimitris TzortzisInterventional Radiology Department, KAT General Hospital, National and Kapodistrian University of Athens, 14561 Athens, Greece.
Andreas MorakisDepartment of Orthopaedic Surgery, KAT General Hospital, National and Kapodistrian University of Athens, 14561 Athens, Greece.
Nikolaos ParchasDepartment of Orthopaedics and Traumatology, University General Hospital of Patras, 26504 Patras, Greece.
Meletis RozisDepartment of Orthopaedic Surgery, KAT General Hospital, National and Kapodistrian University of Athens, 14561 Athens, Greece.
Vasileios MarougklianisDepartment of Orthopaedic Surgery, KAT General Hospital, National and Kapodistrian University of Athens, 14561 Athens, Greece.
Angelos KaspirisDepartment of Orthopaedic Surgery, KAT General Hospital, National and Kapodistrian University of Athens, 14561 Athens, Greece.
Elias VasiliadisDepartment of Orthopaedic Surgery, KAT General Hospital, National and Kapodistrian University of Athens, 14561 Athens, Greece.
Spyros PneumaticosDepartment of Orthopaedic Surgery, KAT General Hospital, National and Kapodistrian University of Athens, 14561 Athens, Greece.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Vertebrogenic chronic low back pain (CLBP) significantly impairs the quality of life of patients, necessitating effective treatment strategies. The present study compared two intervention strategies for this condition: Intradiscal steroid injection (IDSI) in one group with 12 patients, vs. intraosseous basivertebral nerve radiofrequency ablation (BVA) in another group of 10 patients. The present study included patients aged 18-70 years, irrespective of sex, whilst specific inclusion and exclusion criteria were applied. IDSI involves corticosteroid injections into the intervertebral disc, reducing inflammation and pain, whereas BVA targets the basivertebral nerve to disrupt pain signals. A retrospective analysis of the Oswestry Disability Index (ODI) scores of the patients before and after treatment revealed that both treatments effectively reduce disability. The IDSI revealed a higher percentage of complete symptom resolution (at 75%), whereas BVA appeared to provide more consistent and notable improvements across patients, with complete symptom resolution at 70%. Despite potential side-effects, such as transient pain, increased blood sugar levels, nerve damage or infection, both treatments provide substantial pain relief and benefits that outweigh typical side-effects, presumably underscoring the importance of personalized treatment plans. Nonetheless, taking into consideration the notable limitations of the present study, it is essential to emphasize the requirement for further larger-scale research.

Indexed as

basivertebral nerve radiofrequency ablationchronic low back paindepo-methyl prednisolone injectionintradiscal steroid injectionOswestry Disability Indexpain managementpersonalized treatmentvertebrogenic

Identifiers

PMID41159094
PMCPMC12557464

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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.