Evidence map›Paper›PMID 41503144›Full record

ArticleAnesthesiology research and practice2026

Analgesic Efficacy of Epidural Neuroplasty via Racz Catheter During Lumbar Fixation In Situ for Lumbosacral Spondylolisthesis: A Randomized Controlled Trial.

Ahmed Shehata Abd Elhamid, Mohammed Said Elsharkawy, Mostafa Mohamed Shaheen, Khaled Hamama, Ahmed Nada, Taysser M Abdelraheem

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Article in Anesthesiology research and practice, 2026. 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

6 authors.

Ahmed Shehata Abd ElhamidAnesthesia and Intensive Care Department, Faculty of Medicine, Port Said University, Port Said, Egypt, psu.edu.eg.ORCID https://orcid.org/0009-0002-2602-8944
Mohammed Said ElsharkawyAnesthesiology, Surgical Intensive Care and Pain Medicine Department, Faculty of Medicine, Tanta University, Tanta, Egypt, tanta.edu.eg.ORCID https://orcid.org/0000-0003-0814-6728
Mostafa Mohamed ShaheenAnesthesiology, Surgical Intensive Care and Pain Medicine Department, Faculty of Medicine, Tanta University, Tanta, Egypt, tanta.edu.eg.ORCID https://orcid.org/0000-0002-0024-633X
Khaled HamamaAnesthesiology, Surgical Intensive Care and Pain Medicine Department, Faculty of Medicine, Tanta University, Tanta, Egypt, tanta.edu.eg.ORCID https://orcid.org/0000-0001-8951-497X
Ahmed NadaNeurosurgery and Neurointerventional Surgery Department, Faculty of Medicine, Port Said University, Port Said, Egypt, psu.edu.eg.ORCID https://orcid.org/0000-0002-6603-6167
Taysser M AbdelraheemAnesthesiology, Surgical Intensive Care and Pain Medicine Department, Faculty of Medicine, Tanta University, Tanta, Egypt, tanta.edu.eg.ORCID https://orcid.org/0000-0002-4724-3099

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Effective pain management after lumbar fixation in situ is crucial for improving recovery and quality of life. Epidural neuroplasty via the Racz catheter is a potential method to enhance analgesia by targeting epidural inflammation and nerve compression. This work assessed the analgesic efficacy of epidural neuroplasty via a Racz catheter during lumbar fixation in situ for lumbosacral spondylolisthesis. Methods: This randomized, double-blinded, controlled study was conducted on 50 patients aged 18-65 years, of both sexes, who had Grade 1 spondylolisthesis, facet osteoarthropathy, and a small disc on radiological findings. Participants were randomly assigned to two equal groups. Group S received epidural neuroplasty via a Racz catheter during lumbar fixation, and Group C received conventional lumbar steroid injections. Results: Visual analog scale and Oswestry low back disability questionnaire scores were significantly diminished immediately postprocedure and at 1, 2, 4, and 6 m in Group S than in Group C ( Conclusions: Epidural neuroplasty using a Racz catheter during lumbar fixation provides enhanced short-term analgesia, functional recovery, and patient satisfaction compared with conventional lumbar treatment in Grade-1 spondylolisthesis, without increased adverse effects, providing preliminary evidence that warrants validation in larger, long-term studies.

Indexed as

epidural neuroplastylumbar fixationlumbosacralpainRacz catheterspondylolisthesis

Identifiers

PMID41503144
PMCPMC12771631

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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.