Evidence map›Paper›PMID 41420742›Full record

ArticleActa neurochirurgica2025

Complications during lumbar selective nerve root block: a scoping review.

Anna Frøbert Welinder, David Kocemba, Viktor Hartmann Kuang, Mikkel Mylius Rasmussen

Abstract readScoping Review
In one paragraph

Article in Acta neurochirurgica, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
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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

4 authors.

Anna Frøbert WelinderDepartment of Neurosurgery, Aarhus University Hospital, Aarhus, Denmark. ANWELI@rm.dk.
David KocembaDepartment of Neurosurgery, Aarhus University Hospital, Aarhus, Denmark.
Viktor Hartmann KuangDepartment of Neurosurgery, Aarhus University Hospital, Aarhus, Denmark.
Mikkel Mylius RasmussenDepartment of Neurosurgery, Aarhus University Hospital, Aarhus, Denmark.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionSelective Nerve Root Block (SNRB) is widely used for managing radicular pain, serving both therapeutic and diagnostic purposes. A complete list of all reported complications associated with SNRB has never been reported.

aimTo map the existing evidence on complications associated with lumbar SNRB.

methodsA scoping review was conducted of peer-reviewed studies on complications associated with transforaminal or foraminal lumbar SNRB in adults with degenerative spine conditions. A systematic search was performed across six databases on 9th of September 2024. Two independent reviewers screened studies for eligibility.

resultsOf the 6,939 screened studies, 118 met the inclusion criteria, comprising a total of 15,817 patients and 72,518 SNRB procedures. A total of 145 distinct complication types and 4,439 complications were identified. Of these, 5.2% were classified as mild/moderate and 0.2% as severe according to the CTCAE grading system. The rate of complications for each study varied substantially, ranging from 0.2% to 73% calculated per procedure. Across all studies, the overall adjusted complication rate was 5.4% per procedure and 5.8% per patient. The most frequent were intravascular injection, vasovagal reactions, and central steroid effect. Severe events, including infection and paralysis, were rare (≤ 0.03%). DISCUSSION AND

conclusionThe SNRB procedure has a low complication rate, with serious complications being rare. This scoping review highlights the heterogeneous complication data in publications. Standardized guidelines for SNRB complication reporting are warranted.

Indexed as

Nerve BlockRadiculopathySpinal Nerve RootsHumansLumbar VertebraeComplicationsCTCAE classificationLumbar selective nerve root block (SRNB)Scoping review

Identifiers

PMID41420742
PMCPMC12722507

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