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. 2011 Jun 28;2011:1118.
Ref (type) Population Outcome, Interventions Results and statistical analysis Effect size Favours
Pain
[16]
Systematic review
49 people with radiologically confirmed disc herniation
Data from 1 RCT
Proportion of people with symptom relief 3 months
54% with triamcinolone interlaminar perineural injection
40% with placebo (saline) interlaminar perineural injection plus intramuscular triamcinolone
Absolute numbers not reported

Significance not assessed
Randomisation method not reported
[16]
Systematic review
160 people with lower-limb pain caused by confirmed disc herniation
Data from 1 RCT
Proportion of people with symptom relief 12 months
65% with corticosteroid injections
65% with saline placebo injection
Absolute numbers not reported

Reported as not significant
P value not reported
Not significant
[17]
Systematic review
23 people with nerve root compromise
Data from 1 RCT
Proportion of people with improvement in back and leg pain (unspecified) 4 weeks
with caudal corticosteroid injection of 25 mL triamcinolone acetonide 80 mg with or without 0.5% procaine hydrochloride
with placebo (25 mL saline injection)
Absolute results not reported

Reported as significant in favour of corticosteroid injection
No further data reported
[17]
Systematic review
23 people with nerve root compromise
Data from 1 RCT
Proportion of people with improvement in back and leg pain (unspecified) 12 months
with caudal corticosteroid injection of 25 mL triamcinolone acetonide 80 mg with or without 0.5% procaine hydrochloride
with placebo (25 mL saline injection)
Absolute results not reported

Reported as no significant difference between groups at 12 months
No further data reported
Not significant
[19]
Systematic review
228 people with unilateral sciatica, possibly caused by disc herniation
Data from 1 RCT
Proportion of people with improvement in leg pain (unspecified) measured by visual analogue scale (VAS) 3 weeks
with triamcinolone 80 mg plus 10 mL bupivacaine 0.25%
with 2 mL normal saline
Absolute results not reported

Reported as no significant difference between groups
No further data reported by review
Not significant
[19]
Systematic review
228 people with unilateral sciatica, possibly caused by disc herniation
Data from 1 RCT
Proportion of people with improvement in leg pain (unspecified) measured by Likert scale 3 weeks
61% with triamcinolone 80 mg plus 10 mL bupivacaine 0.25%
40% with 2 mL normal saline
Absolute numbers not reported

P <0.01
Effect size not calculated triamcinolone 80 mg plus 10 mL bupivacaine 0.25%
[19]
Systematic review
228 people with unilateral sciatica, possibly caused by disc herniation
Data from 1 RCT
Proportion of people with improvement in leg pain (unspecified) measured by VAS 6 weeks
with triamcinolone 80 mg plus 10 mL bupivacaine 0.25%
with 2 mL normal saline
Absolute results not reported

Reported as no significant difference between groups
No further data reported by review
Not significant
[19]
Systematic review
228 people with unilateral sciatica, possibly caused by disc herniation
Data from 1 RCT
Proportion of people with improvement in leg pain (unspecified) measured by Likert scale 6 weeks
with triamcinolone 80 mg plus 10 mL bupivacaine 0.25%
with 2 mL normal saline
Absolute results not reported

Reported as no significant difference between groups
No further data reported by review
Not significant
[19]
Systematic review
158 people with sciatica caused by herniated nucleus pulposus
Data from 1 RCT
Improvement in leg pain (unspecified) 6 weeks
with methylprednisolone acetate (80 mg and 8 mL of isotonic saline)
with 1 mL isotonic saline
Absolute results not reported

P = 0.03
Effect size not calculated methylprednisolone acetate (80 mg and 8 mL of isotonic saline)
[19]
Systematic review
158 people with sciatica caused by herniated nucleus pulposus
Data from 1 RCT
Improvement in leg pain (unspecified) 3 months
with methylprednisolone acetate (80 mg and 8 mL of isotonic saline)
with 1 mL isotonic saline
Absolute results not reported

Reported as no significant differences between groups
No further data reported
Not significant
[19]
Systematic review
51 people with lumbar root compression documented by neurological deficit and abnormality noted on myelography
Data from 1 RCT
Pain (unspecified) 3 months
with 80 mg methylprednisolone (2 mL)
with 2 mL normal saline
Absolute results not reported

Reported as no significant differences between groups
No further data reported
Not significant
[19]
Systematic review
151 people with lumbar root compression documented by neurological deficit and abnormality noted on myelography
Data from 1 RCT
Pain (unspecified) 14 months
with 80 mg methylprednisolone (2 mL)
with 2 mL normal saline
Absolute results not reported

Reported as no significant difference between groups
No further data reported
Not significant
[20]
RCT
85 people with sciatica caused by herniated disc Mean change in pain scores from baseline measured by unspecified VAS 35 days
–30.3 mm with epidural corticosteroid injections (2 mL prednisolone acetate at 2-day intervals for a total of 3 injections)
–25.2 mm with placebo (2 mL isotonic saline injection)

Mean difference –5.1
95% CI –18.7 to +8.4
Not significant
[21]
RCT
76 people with leg and back pain caused by herniated disc Improvement in leg pain measured by VAS score 3 months
mean change of 27.4 with methylprednisolone 40 mg plus local anaesthetic
mean change of 24.3 with local anaesthetic alone

Significance not assessed
[21]
RCT
124 people with leg and back pain caused by herniated disc (76 people) or spinal stenosis (48 people) Improvement in back pain measured by VAS score 3 months
mean change of 6.9 with methylprednisolone 40 mg plus local anaesthetic
mean change of 9.9 with local anaesthetic alone

P = 0.57
Not significant