Abstract:
OBJECTIVE:The object of the present meta-analysis is to compare the effectiveness of transforaminal epidural steroid injection (TFESI) and interlaminar epidural steroid injection (ILESI) for treating patients with low back pain (LBP) secondary to lumbosacral radicular pain. METHODS:A systematic search was performed in the PubMed and Embase databases and the Cochrane Library for relevant literature published through January 2016. The randomized controlled trials (RCTs) and controlled observational studies were selected, which did not only compare TFESI with ILESI but also reported the available data. The Cochrane Collaboration's Handbook and Newcastle-Ottawa Scale (NOS) were used for the methodological quality assessments of the RCTs and observational studies respectively. The meta-analysis was performed using the Revman 5.2 software. RESULTS:A total of 931 patients from nine RCTs and four observational studies were subjected to meta-analysis. In primary outcomes, the TFESI patients experienced superior pain relief compared with the TFESI patients in RCTs (P = 0.01), but not in observational studies (p = 0.63). The pooled data of RCTs showed that the TFESI group presented superior clinical results in terms of visual analogue scale (VAS) than the ILESI group (p = 0.0005). Moreover, the numeric rating scale (NRS) specifically favored TFESI in the RCTs (p < 0000.1). Similar functional improvement and oswentry disability index (ODI) score were observed between TFESI and ILESI in RCTs (P = 0.62). In secondary outcomes, meta-analysis of RCTs and observational studies revealed that there were no statistically significant differences between both groups in regard to procedure frequency, surgery rate, and ventral epidural spread. CONCLUSIONS:According to the results of meta-analysis, TFESI to manage LBP provides superior short term pain relief and equal functional improvement when compared to ILESI. It has not shown a statistically significant difference between both groups with regard to procedure frequency, surgery rate, and ventral epidural spread.
journal_name
Int Orthopjournal_title
International orthopaedicsauthors
Wei G,Liang J,Chen B,Zhou C,Ru N,Chen J,Zhang Fdoi
10.1007/s00264-016-3220-5subject
Has Abstractpub_date
2016-12-01 00:00:00pages
2533-2545issue
12eissn
0341-2695issn
1432-5195pii
10.1007/s00264-016-3220-5journal_volume
40pub_type
杂志文章,meta分析abstract:PURPOSE:Aged patients represent a high risk group for acquiring spinal tuberculosis, and it still remains a leading cause of kyphosis and paraplegia in developing nations. Aged patients often combined with cardiovascular and respiratory disease and single lung ventilation via anterior approach surgery could result in m...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-016-3161-z
更新日期:2016-06-01 00:00:00
abstract:PURPOSE:The purpose of this systematic review and meta-analysis of randomised controlled trials is to assess the effectiveness of no drainage when compared to drainage in total knee arthroplasty, in terms of recovery of knee flexion, reduction in swelling, length of hospital stay and haemoglobin levels following TKA. ...
journal_title:International orthopaedics
pub_type: 杂志文章,meta分析,评审
doi:10.1007/s00264-014-2455-2
更新日期:2015-04-01 00:00:00
abstract::This experimental study was undertaken in mice to investigate the procedures for storage of allogenic cancellous bone. Cancellous grafts were were stored at -80 degrees C, -196 degrees C or freeze dried. Grafts were implanted into a defect in the recipient's femur and after one week the cellular kinetic activity was a...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/BF00178753
更新日期:1990-01-01 00:00:00
abstract:INTRODUCTION:The most common reason for removal of well-fixed radial head prostheses is painful loosening. We hypothesised that short-stemmed prostheses, used for radial head arthroplasty, are not associated with an increased risk of implant loosening. METHODS:From 2002 to 2014, 65 patients were enrolled in a retrospe...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-017-3644-6
更新日期:2018-01-01 00:00:00
abstract:PURPOSE:The present study was designed to address whether osteoblasts play a synergistic role in promoting mesenchymal stem cell (MSC) osteogenesis in a direct cell-cell contact co-culture model. METHODS:Murine C3H10T1/2 and MC3T3-E1 cell lines were mixed and plated onto 12-well culture plates and co-cultured at vario...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-011-1259-x
更新日期:2012-01-01 00:00:00
abstract::Traumatic thumb defects significantly affect the function and appearance of the hand; thus, thumb reconstruction is very important in clinical practice. In our report, three reconstruction strategies of toe-to-thumb transplantation, based on the amputation level of the thumb, were used for immediate thumb reconstructi...
journal_title:International orthopaedics
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doi:10.1007/s00264-010-1044-2
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abstract::In achondroplasts limb lengthening can restore the normal proportion of the body. The Ilizarov method of limb lengthening has been used in 37 patients, 23 of whom have had an adequate follow-up after operation. In this technique the cortex of the bone is partially cut, leaving the medulla intact; the two bone segments...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/BF00547160
更新日期:1988-01-01 00:00:00
abstract::In 16 patients with ulnar wrist pain, we performed primary arthroscopic or open repair of the peripheral rim tears of the triangular fibrocartilage complex (TFCC) (14 ulnar, 4 volar, and 3 radial tears). The wrist function was assessed before and 1 year after the repair using the Mayo-modified wrist score. The average...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s002640100285
更新日期:2001-01-01 00:00:00
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journal_title:International orthopaedics
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journal_title:International orthopaedics
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journal_title:International orthopaedics
pub_type: 杂志文章,随机对照试验
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更新日期:2011-11-01 00:00:00
abstract::An appraisal of the clinical records of patients with malignant bone tumours enabled us to identify 61 whom we have treated by external fixation. There were 38 males and 23 females with ages ranging from 4 to 58 years, the mean being 14 years. The average period of follow-up was 6 years (1-12 years). For the purpose o...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s002640050223
更新日期:1998-01-01 00:00:00
abstract::Fractures around a femoral prosthesis have been treated with plating and additional cement, but this leads to further reduction of bone stock in the proximal femur. Since February 1992, we have dealt with this problem in 12 patients by revision using a long uncemented stem and distal interlocking combined with homolog...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s002640050112
更新日期:1997-01-01 00:00:00
abstract:PURPOSE:Different target areas within the concept of combined cup and stem anteversion have been published for total hip arthroplasty (THA). We asked whether component positioning according to eight standard combined anteversion rules is associated with (1) more physiological gait patterns, (2) higher improvement of ga...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-015-2777-8
更新日期:2015-12-01 00:00:00
abstract:PURPOSE:To identify potential risk factors and micro-organisms associated with prosthetic joint infection following primary total knee replacement surgery. HYPOTHESIS OF STUDY:Our hypothesis is that body mass index (BMI), operative time, type of surgery, and order of surgery especially in bilateral simultaneous cases ...
journal_title:International orthopaedics
pub_type: 杂志文章,多中心研究
doi:10.1007/s00264-019-04472-1
更新日期:2020-02-01 00:00:00
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journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-011-1380-x
更新日期:2012-02-01 00:00:00
abstract::We treated 19 patients with piriformis muscle syndrome. All patients complained of pain in the buttocks and the posterior thigh. Clinically the buttock was tender and passive stretching increased the pain. In ten patients skin sensation was reduced and three had a limp. All patients were treated with tenotomy. At foll...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-001-0319-z
更新日期:2002-01-01 00:00:00
abstract::This study evaluates the role of arthroscopy in the diagnosis of acute injuries to the knee. One hundred and fifty four patients with a suspected ligament injury or effusion of the knee joint underwent arthroscopy. A haemarthrosis was present in 82% and a bloodless effusion in 10%. Meniscal tears were found in 19% of ...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/BF00317825
更新日期:1988-01-01 00:00:00
abstract::A clinical and radiological follow-up investigation with at least 20 years observation time was made of 255 persons with lumbar spondylolysis with or without spondylolisthesis. The main purposes were to study the relationship between clinical and radiological features and to look for radiological and other variables o...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/BF00269912
更新日期:1984-01-01 00:00:00
abstract:PURPOSE:Relatively little is known about the extent to which periprosthetic joint infections (PJI) affect the patient's long-term quality of life (QoL). Our study aim was to assess the effect of a periprosthetic infection on our patients' QoL. METHODS:We collected data retrospectively of patients who had undergone sur...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-013-2265-y
更新日期:2014-05-01 00:00:00
abstract::A 12-year-old boy with osteosarcoma in the proximal tibia underwent a successful limb-saving operation with preservation of the epiphyseal and articular cartilage of the proximal tibia as a result of his remarkable response to chemotherapy. There was no evidence of tumour invasion to the adjacent physis, as demonstrat...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s002640050272
更新日期:1998-01-01 00:00:00
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journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/BF00210533
更新日期:1991-01-01 00:00:00
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journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-018-3826-x
更新日期:2018-10-01 00:00:00
abstract:PURPOSE:The aim of this study was to determine whether distal locking using an electromagnetic-manual guided distal locking decreases the malrotation rate in femur fractures treated with intramedullary nailing. METHODS:A total of 113 adult patients having unilateral femoral shaft fractures treated using IM nails were ...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-014-2626-1
更新日期:2015-03-01 00:00:00
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journal_title:International orthopaedics
pub_type: 杂志文章,meta分析
doi:10.1007/s00264-013-1867-8
更新日期:2013-06-01 00:00:00
abstract::A series of 199 total hip arthroplasties was performed using a porous-coated, hemispherical press-fit acetabular cup. At a mean follow-up of 91.5 months 158 cups were available for clinical and radiological review. The mean age of the patients at the time of the index arthroplasty was 62.5 years. The mean Harris Hip s...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s002640100265
更新日期:2001-01-01 00:00:00
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journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-013-1908-3
更新日期:2013-08-01 00:00:00
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journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-014-2416-9
更新日期:2014-12-01 00:00:00
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journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/BF00266517
更新日期:1985-01-01 00:00:00
abstract::Computer-assisted surgery (CAS) in total knee arthroplasty (TKA) could be useful in reducing the overall blood loss. A prospective randomised study was performed with two groups of 50 patients each of whom were treated for knee arthritis. Patients of group A were treated by a conventional standard procedure, while for...
journal_title:International orthopaedics
pub_type: 杂志文章,随机对照试验
doi:10.1007/s00264-008-0651-7
更新日期:2009-12-01 00:00:00