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:The purpose of this study was to determine if a new titanium cup with increased porosity resulted in different periacetabular bone loss and migration compared to a porous coated cup. METHODS:Fifty-one patients with primary hip osteoarthritis were randomized to either a cup with porous titanium construct backsi...
journal_title:International orthopaedics
pub_type: 杂志文章,随机对照试验
doi:10.1007/s00264-014-2571-z
更新日期:2015-05-01 00:00:00
abstract:PURPOSE:The purpose of this study was to analyze the occurrence of PE after intra-operative O-arm navigation-assisted surgery and determine whether the post-operative PE incidence could be decreased by using O-arm navigation as compared to conventional free-hand technique. METHODS:A cohort of 27 patients with spinal d...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-018-3889-8
更新日期:2018-09-01 00:00:00
abstract:PURPOSE:Humero-ulnar external fixation has been proposed to treat complex supracondylar humeral fractures in children. It facilitates fracture reduction and reduces the risk of ulnar nerve lesion, which can occur after cross pinning. METHODS:In a ten year period, 28 children have been operated on in our centre by hume...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-016-3251-y
更新日期:2016-11-01 00:00:00
abstract:PURPOSE:To evaluate a novel sequential internal fixation strategy using a reinforced spacer for infected bone defect reconstruction by the induced membrane technique (IMT). METHODS:A retrospective case study was performed among patients treated for infected bone defects by applying this strategy. Following radical deb...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-020-04735-2
更新日期:2020-09-01 00:00:00
abstract:PURPOSE:Limited data exist for the reconstructive potential of short bone-preserving stems in THA using a minimal invasive posterolateral approach. Our study aim was to assess the effect of stem design on the reconstruction of hip offset and leg length in MIS posterolateral THA. METHODS:This retrospective consecutive ...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-014-2299-9
更新日期:2014-07-01 00:00:00
abstract::Hans von Gerssdorff and Hieronymus Brunschwig, who flourished in Germany in the latter half of the fifteenth century, have both left early printed treatises on Surgery which give excellent woodcuts showing pictures of instruments, operations, and costumes, at the end of the medieval period. Hieronymus Brunschwig or Hi...
journal_title:International orthopaedics
pub_type: 传,历史文章,杂志文章
doi:10.1007/s00264-015-2868-6
更新日期:2015-10-01 00:00:00
abstract::Between 1991 and 2002 we treated 48 patients surgically for thoracolumbar burst fractures associated with flexion-distraction injury of the posterior elements. The degree of kyphotic deformity and the degree of vertebral wedging deformity were measured on plain lateral radiographs. The spinal canal compromise was meas...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-005-0005-7
更新日期:2005-12-01 00:00:00
abstract::Between 1971 and 1987, we treated 26 patients with congenital absence of the radius which had produced a club hand; 37 hands were affected. Treatment before the age of 8 months was by gentle manipulation and serial plasters. If a functional position was not obtained, and in patients over 8 months, surgical reduction w...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/BF00194186
更新日期:1993-01-01 00:00:00
abstract:INTRODUCTION:Several recent studies have reported accurate and reliable use of patient-specific cutting guides (PSCG) for medial opening-wedge high tibial osteotomy (OW-HTO); however, a majority of these are small cases series or ex-vivo reports. The hypothesis of this study was that performing an OW-HTO with PSCG resu...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-019-04372-4
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journal_title:International orthopaedics
pub_type: 杂志文章,meta分析
doi:10.1007/s00264-010-1008-6
更新日期:2011-03-01 00:00:00
abstract::We analysed and determined retrospectively the location, age, gender and side of the body of humeral fractures from 258 antero-posterior radiographs of all patients aged 3-81 years over a 5-year period. It was observed that 160 fractures occurred on the left side while 98 were on the right side with 156 occurring in m...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-004-0596-4
更新日期:2004-12-01 00:00:00
abstract::Antibiotic-associated colitis was diagnosed in 23 orthopaedic patients: 17 had abdominal symptoms, 3 had a fever and the remaining 3 had no symptoms but increasing C-reactive protein values or white blood count. The antibiotic was clindamycin in 19, cephalosporins in 3 and a combination of vancomycin and fusidic acid ...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s002640050063
更新日期:1996-01-01 00:00:00
abstract::At an average follow-up of 3.7 years we assessed the results of non-operative treatment of 84 symptomatic shoulders in 59 patients with a diagnosis of multidirectional shoulder instability. Sixty-two shoulders had received no previous surgical treatment (group A) while 22 had failed to respond to surgical treatment be...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s002640000202
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/s00264-013-2194-9
更新日期:2014-05-01 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::Between 1991 and 2002, we treated 21 patients with tibial bone loss using a conventional external fixator. Nine patients had an infected open fracture and 12 patients an infected nonunion. After corticotomy, the bone was distracted at the rate of 1 mm (1 mm/step) on alternate days or every 48 h. The mean follow-up per...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-004-0553-2
更新日期:2004-06-01 00:00:00
abstract::Discoid meniscus is uncommon and usually affects the lateral meniscus. We present 16 patients (8 male and 6 female) with tears of a discoid lateral meniscus occurring in 1800 arthroscopies. We carried out an arthroscopic partial meniscectomy leaving an intact peripheral rim. This is biomechanically satisfactory and th...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/BF00179715
更新日期:1991-01-01 00:00:00
abstract::During a 4-year period, 32 patients with type C unstable sacral fractures were treated in our university hospital. All patients had neurological deficits as a result of their sacral fracture. The average age was 31.2 (range 22-54) years and the average Hannover Polytrauma Score (PTS) was 24 (range 19-40) points. Twelv...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-007-0468-9
更新日期:2009-02-01 00:00:00
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journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s002640050090
更新日期:1996-01-01 00:00:00
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journal_title:International orthopaedics
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pub_type: 杂志文章,评审
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journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-007-0447-1
更新日期:2009-02-01 00:00:00
abstract::The reliability and validity of the Hartofilakidis et al. classification system in adults with congenital hip disease (CHD) were examined. The radiographs of 102 adult patients (158 hips) with CHD were independently assessed by three senior surgeons. Interobserver variability was assessed by examining the agreement be...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-007-0472-0
更新日期:2009-04-01 00:00:00
abstract::Ten patients with clinical and radiological evidence of herniated discs at lower lumbar levels were treated with partial discectomy by a lateral percutaneous approach. Eight patients had complete relief from radicular pain and were discharged within four days. They returned to normal daily activity within one month. ...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/BF00271309
更新日期:1987-01-01 00:00:00
abstract::A 21 year old Japanese male of normal intelligence with severe athetosis, scoliosis with pelvic obliquity, and a positive Galant's reflex was seen with complaint of difficulty in maintaining a sitting posture. After release of the soft tissues around the hip and axilla, followed by physiotherapy, he underwent ipsilate...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/BF00271094
更新日期:1980-01-01 00:00:00
abstract:PURPOSE:The deltopectoral approach is a common surgical procedure for shoulder arthroplasty. Many surgeons are familiar with this procedure, but certain steps are still controversial. This is the case for the management of subscapularis, where surgeons must choose between tenotomy and the lesser tuberosity osteotomy. ...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-014-2654-x
更新日期:2015-02-01 00:00:00
abstract::We evaluated the pre- and postoperative neurological state of 3 patients with lumbar intradural lipoma. Total resection of the lipoma in the cauda equina was impossible, and partial resection and expansive laminoplasty was carried out. Subsequent neural involvement may depend on the duration of symptoms rather than th...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s002640050147
更新日期:1997-01-01 00:00:00
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journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-017-3541-z
更新日期:2018-02-01 00:00:00
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journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-016-3281-5
更新日期:2017-02-01 00:00:00
abstract::During a six-year period, eleven persons with primary pyogenic abscess of the psoas muscle were treated at the Mackay Memorial Hospital. Five were males and six were females and their average age was 47.2 years (range 6-83 years). The abscess was identified by CT in 7 patients, MRI in 2 and ultrasonography in 1. One a...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s002640050205
更新日期:1998-01-01 00:00:00