SynthesisCurrent pain and headache reports2026
Minimally Invasive Spinal Interventions for Back and Neck Pain in the Pediatric Population: a Systematic Review.
Synthesis in Current pain and headache reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
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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.
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.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
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Authors and funding
10 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo evaluate the effectiveness and safety of spinal interventions for pediatric patients with chronic back and neck pain who failed conservative management.
designSystematic review.
methodsFollowing PRISMA 2020 guidelines, a comprehensive search of PubMed, Embase, Web of Science, and Cochrane Central was performed through August 2024. Eligible studies included clinical reports of interventional procedures for pediatric spine related pain. Primary outcomes were pain reduction measured by subjective scales or validated instruments; secondary outcomes included safety and adverse events. Risk of bias and certainty of evidence were assessed using the MASTER and GRADE scales.
resultsOf 578 identified studies, 8 met inclusion criteria, encompassing 258 pediatric patients. Interventions included epidural steroid injections (n = 227), sacroiliac joint injections (n = 13), facet injections (n = 2), ozone discolysis (n = 2), medial branch blocks (n = 1), interspinous ligament injections (n = 1), and microdiscectomy (n = 1). Across all studies, some degree of pain relief was reported, with functional improvement noted when measured. Adverse events were rare, mild, and transient, including a post-procedural headache and a transient sciatic motor block. No major long-term complications were reported. Evidence certainty was graded as 'very low' due to small sample sizes, observational designs, and heterogeneous methodologies.
conclusionsPreliminary evidence suggests spinal interventions may provide pain relief and functional improvement for carefully selected pediatric patients refractory to conservative measures, with a safety profile comparable to adults. However, evidence remains limited and heterogeneous. Larger, controlled studies are needed to guide clinical practice and inform future guidelines.
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