Evidence map›Paper›PMID 41873258›Full record

ArticleCureus2026

Clinical Outcomes of Intradiscal Condoliase Injection for Lumbar Disc Herniation: A Retrospective Analysis of the First 100 Cases.

Atsushi Kojima, Naoki Tsujishima, Shigeru Kamitani, Hirohito Suzuki, Tomonori Sodeyama, Kenji Hatakeyama, Masao Koda

Abstract read
In one paragraph

Article in Cureus, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the 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.

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

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

7 authors.

Atsushi KojimaSpine and Spinai Cord Center, Funabashi Orthopaedic Hospital, Funabashi, JPN.
Naoki TsujishimaSpine and Spinai Cord Center, Funabashi Orthopaedic Hospital, Funabashi, JPN.
Shigeru KamitaniSpine and Spinai Cord Center, Funabashi Orthopaedic Hospital, Funabashi, JPN.
Hirohito SuzukiSpine and Spinai Cord Center, Funabashi Orthopaedic Hospital, Funabashi, JPN.
Tomonori SodeyamaSpine and Spinai Cord Center, Funabashi Orthopaedic Hospital, Funabashi, JPN.
Kenji HatakeyamaSpine and Spinai Cord Center, Funabashi Orthopaedic Hospital, Funabashi, JPN.
Masao KodaSpine and Spinai Cord Center, Funabashi Orthopaedic Hospital, Funabashi, JPN.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background Intradiscal injection of condoliase is a minimally invasive treatment positioned between conservative management and surgery for lumbar disc herniation (LDH). Objective To evaluate the short- to mid-term clinical course and radiological changes following condoliase treatment in routine clinical practice. Methods This retrospective observational study analyzed 100 consecutive patients with LDH who underwent intradiscal condoliase injection between December 2018 and July 2023. Clinical outcomes were evaluated using the visual analog scale (VAS). Radiological findings were assessed using established magnetic resonance imaging classifications. Clinical outcomes and subsequent treatments were analyzed. Results The median symptom duration was 20 weeks. Mean leg pain VAS significantly improved from 7.4 ± 2.1 at baseline to 3.7 ± 2.4 at one month and 2.4 ± 2.2 at three months (p < 0.05). Symptomatic improvement was observed in 87 patients (87.0%), with a median time to relief of four weeks. Five patients (5.0%) required subsequent surgery. No major complications were observed, including neurological deterioration, infection (discitis), anaphylaxis, hospitalization related to the procedure, or death. Conclusions Intradiscal condoliase injection was associated with a significant early reduction in leg pain in the majority of patients with LDH and may serve as an effective intermediate treatment between conservative management and surgery.

Indexed as

chemonucleolysiscondoliasedisc degenerationlumbar disc herniationminimally invasive treatment

Identifiers

PMID41873258
PMCPMC13006033

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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.