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. 2007 Oct 17;2007(4):CD005454. doi: 10.1002/14651858.CD005454.pub2

Davidoff 1987.

Methods Double blind placebo controlled parallel design, eight weeks (one dose escalation, thereafter stable dose). Randomisation method not stated
Inclusion criteria:
 age at least 18 years, duration of symptoms at least one month
Participants Traumatic myelopathy. 18 participants (18 final number). mean age 39 years, 16 male and 2 female patients
Pain score in trazodone group by PRI 33.2 (6.9), by NWC 12.0 (1.7), by PPI 2.9 (0.6), by SPI day 58.2 (9.4), by SPI week 63.8 (7.0), by PAD 55.1 (4.6); in placebo group by PRI 31.2 (6.4), by NWC 12.3 (1.5), by PPI 2.1 (0.3), by SPI day 56.6 (8.7), by SPI week 62.6 (8.8), by PAD 55.8 (4.4)
Interventions Trazodone 150 mg or placebo daily orally
Outcomes Global assessment of efficacy (yes/no), MPQ: pain rating index (PRI), number of words (NWC), present pain intensity (PPI), Sternback pain intensity (0 to 100) day and week (SPI), Zung pain and distress index (PAD)
Global improvement on trazodone 4/9 and on placebo 3/9
Pain on trazodone by PRI 33.5 (2.4), by NWC 14.0 (1.0), by PPI 2.6 (0.2), by SPI day 61.7 (6.8), by SPI week 73.9 (4.7), by PAD 67.2 (3.8); in placebo group by PRI 32.1 (3.5), by NWC 13.2 (1.5), by PPI 1.7 (0.2), by SPI day 63.4 (8.4), by SPI week 68.3 (6.9), by PAD 53.0 (3.2)
Notes Dropouts 6/18; 5/9 on trazodone, 1/9 on placebo
Reasons for dropouts not stated
SE: 4/9 on trazodone and 1/9 on placebo
In placebo group there were more patients with sensory complete spinal cord injuries (four patients in placebo group, one in trazodone)
QS = 2 (R1, DB1, W0)
Risk of bias
Bias Authors' judgement Support for judgement
Allocation concealment (selection bias) Unclear risk D ‐ Not used