Comparison of transforaminal verse interlaminar epidural steroid injection in low back pain with lumbosacral radicular pain: a meta-analysis of the literature.


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.


Int Orthop


Wei G,Liang J,Chen B,Zhou C,Ru N,Chen J,Zhang F




Has Abstract


2016-12-01 00:00:00














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    abstract::We describe a hemiarthroplasty of the shoulder with an acrylic Judet hip prosthesis, inserted after the excision of a giant cell tumour of the head of the humerus, which functioned well for 39 years. ...

    journal_title:International orthopaedics

    pub_type: 杂志文章


    authors: Zamudio L,Gil-Orbezo F,Hernandez-Mercado G

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    journal_title:International orthopaedics

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    更新日期:2020-06-01 00:00:00

  • The influence of the medial meniscus in different conditions on anterior tibial translation in the anterior cruciate deficient knee.

    abstract:PURPOSE:The purpose of this study was the evaluation of knee laxity in the ACL-deficient knee with combined meniscal tear, meniscal suture and partial medial meniscectomy. METHODS:Kinematics of the intact knee were determined in 18 human cadaver specimens in response to a 134-N anterior tibial load (aTT) as well as a ...

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    authors: Lorbach O,Kieb M,Herbort M,Weyers I,Raschke M,Engelhardt M

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  • Patellar resurfacing as a second stage procedure for persistent anterior knee pain after primary total knee arthroplasty.

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    abstract:PURPOSE:This prospective, stratified, randomized, single-blind, placebo-controlled multicentre study investigated the safety and effectiveness of reducing blood loss and preventing venous thromboembolism (VTE) during posterior lumbar interbody fusion (PLIF) in patients with stenosis or spondylolisthesis using the combi...

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    更新日期:2020-10-01 00:00:00

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    abstract::The concentrations of cobalt and chromium have been measured in the urine of 22 patients who had received uncemented hip prostheses made from cobalt, chromium and molybdenum alloy, and in 21 patients who had not received prostheses, using absorption spectrophotometry. The results were statistically analysed using the ...

    journal_title:International orthopaedics

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  • Treatment of the aneurysmal bone cyst by percutaneous intracystic sclerotherapy using ethanol ninety five percent in children.

    abstract:INTRODUCTION:Aneurysmal bone cyst (ABC) is a benign intraosseous lesion filled with blood that can determine a blowout distension of the bone. The purpose of this study is to evaluate the efficacy of sclerotherapy by percutaneous intralesional administration of ethanol 96% for the treatment of this pathology in paediat...

    journal_title:International orthopaedics

    pub_type: 杂志文章


    authors: Ulici A,Florea DC,Carp M,Ladaru A,Tevanov I

    更新日期:2018-06-01 00:00:00

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    journal_title:International orthopaedics

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    authors: Franceschi F,Papalia R,Del Buono A,Zampogna B,Diaz Balzani L,Maffulli N,Denaro V

    更新日期:2013-07-01 00:00:00

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    abstract:PURPOSE:Extension lag, quadriceps weakness and subluxation of the extensor apparatus are known complications of patellectomy. In the case of total knee joint replacement with a nonconstrained system an instability may be encountered. Reconstruction of the patella allows restoration of the moment arm to improve quadrice...

    journal_title:International orthopaedics

    pub_type: 杂志文章


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    更新日期:2012-03-01 00:00:00

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    journal_title:International orthopaedics

    pub_type: 杂志文章


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    journal_title:International orthopaedics

    pub_type: 杂志文章,多中心研究


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    journal_title:International orthopaedics

    pub_type: 杂志文章


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  • A review of forty five open tibial fractures covered with free flaps. Analysis of complications, microbiology and prognostic factors.

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    journal_title:International orthopaedics

    pub_type: 杂志文章


    authors: Olesen UK,Juul R,Bonde CT,Moser C,McNally M,Jensen LT,Elberg JJ,Eckardt H

    更新日期:2015-06-01 00:00:00

  • Total knee replacement in the fixed valgus deformity using a lateral approach: role of the automatic iliotibial band release for a successful balancing.

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    journal_title:International orthopaedics

    pub_type: 杂志文章


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    更新日期:2009-12-01 00:00:00

  • Particulate cartilage under bioreactor-induced compression and shear.

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    journal_title:International orthopaedics

    pub_type: 杂志文章


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    更新日期:2014-05-01 00:00:00

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    journal_title:International orthopaedics

    pub_type: 杂志文章


    authors: Schmidutz F,Beirer M,Weber P,Mazoochian F,Fottner A,Jansson V

    更新日期:2012-07-01 00:00:00

  • Structural bone allograft fractures in oncological procedures.

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    journal_title:International orthopaedics

    pub_type: 杂志文章


    authors: Garcia-Coiradas J,Garcia-Maroto R,Cebrian JL,Lopez-Duran L

    更新日期:2015-11-01 00:00:00

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    journal_title:International orthopaedics

    pub_type: 杂志文章


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    journal_title:International orthopaedics

    pub_type: 杂志文章


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    更新日期:1995-01-01 00:00:00

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    journal_title:International orthopaedics

    pub_type: 杂志文章


    authors: Eingartner C,Volkmann R,Pütz M,Weller S

    更新日期:1997-01-01 00:00:00

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    abstract::This report includes six patients with femoral head fractures. Five were associated with posterior hip dislocation, of which one also had an ipsilateral trochanteric fracture. All were young adults who had been injured in automobile accidents. The protocol for management, indications for surgery and guidelines for eva...

    journal_title:International orthopaedics

    pub_type: 杂志文章


    authors: Mostafa MM

    更新日期:2001-01-01 00:00:00

  • [Role of intrafocal pinning in the treatment of wrist fractures].

    abstract::We have treated 350 displaced Colles fractures by percutaneous fixation with K wires arranged in a 'basket' formation, as described by Kapandji. This technique enables satisfactory stabilisation of the fragments and early mobilisation and rehabilitation, usually without the use of a plaster cast or brace. We describe ...

    journal_title:International orthopaedics

    pub_type: 杂志文章


    authors: Nonnenmacher J,Kempf I

    更新日期:1988-01-01 00:00:00

  • Pre-operative virtual simulation and three-dimensional printing techniques for the surgical management of acetabular fractures.

    abstract:PURPOSE:Surgical treatment of acetabular fractures with plate fixation is challenging for orthopaedic surgeons because of variations of the surface curvature and complex fracture patterns of the acetabulum. We present our experience with pre-operative computer-assisted virtual simulation and three-dimensional (3D) prin...

    journal_title:International orthopaedics

    pub_type: 杂志文章


    authors: Hsu CL,Chou YC,Li YT,Chen JE,Hung CC,Wu CC,Shen HC,Yeh TT

    更新日期:2019-08-01 00:00:00

  • Continuous infusion of insulin-like growth factor-I into the epiphysis of the tibia.

    abstract::We have developed a method to promote longitudinal bone growth at the level of a specific growth-plate (GP) in young rabbits. Insulin-like growth factor-I (IGF-I) was continuously infused by means of an osmotic pump into the bone marrow cavity of the proximal epiphysis of the tibia. Radiological measurement showed a 2...

    journal_title:International orthopaedics

    pub_type: 杂志文章


    authors: Abbaspour A,Takata S,Matsui Y,Katoh S,Takahashi M,Yasui N

    更新日期:2008-06-01 00:00:00

  • Induced membrane technique with sequential internal fixation: use of a reinforced spacer for reconstruction of infected bone defects.

    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


    authors: Mathieu L,Tossou-Odjo L,de l'Escalopier N,Demoures T,Baus A,Brachet M,Masquelet AC

    更新日期:2020-09-01 00:00:00

  • Age-related appearance of muscle trauma in primary total hip arthroplasty and the benefit of a minimally invasive approach for patients older than 70 years.

    abstract::Old age is frequently associated with a poorer functional outcome after THA. This might be based upon muscular damage resulting from surgical trauma. Minimally invasive approaches have been widely promoted on the basis of the muscle sparing effect. The aim of the study was to evaluate of the functional outcome and the...

    journal_title:International orthopaedics

    pub_type: 杂志文章


    authors: Müller M,Tohtz S,Dewey M,Springer I,Perka C

    更新日期:2011-02-01 00:00:00

  • Serological markers can lead to false negative diagnoses of periprosthetic infections following total knee arthroplasty.

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    journal_title:International orthopaedics

    pub_type: 杂志文章


    authors: Johnson AJ,Zywiel MG,Stroh A,Marker DR,Mont MA

    更新日期:2011-11-01 00:00:00

  • Injury characteristics and management of orthopaedic trauma in refugee children.

    abstract:PURPOSE:Several factors affect injury types in childhood. The aim of the study was to evaluate the musculoskeletal injury types, treatment modalities, and demographic characteristics of refugee children and to reveal the differences from native children. METHODS:A total of 1297 patients (897 females, 400 males) treate...

    journal_title:International orthopaedics

    pub_type: 杂志文章


    authors: Bayrak A,Öztürk V,Koluman A,Ziroğlu N,Duramaz A

    更新日期:2021-01-23 00:00:00