Table 4.
Effects on low back pain, activity limitations and adverse events of other intervertebral disc therapies versus placebo.
Authors | Intervention | Comparator | N | Pain intensity (SMD) | Activity limitations (SMD) | Major AE (OR) | Minor AE (OR) |
---|---|---|---|---|---|---|---|
NCT0112400639; NCT0118233738 | rhGDF5 | Excipient IDT | 55 | Long term : −0.07 (−0.76; 0.62) | Long term: −0.01 (−0.58; 0.55) | 1.48 (0.30; 7.35) | 1.56 (0.37; 6.68) |
Elawamy et al.
44
; Niu et al. 45 |
Ozone | Ozone IDT (other dosage) Usual care |
60 80 |
Short term: 0.20 (−0.51; 0.91) Long term: 0.30 (−2.21; 0.91) Long term: −0.62 (−2.43; 1.20) |
Short term: 0.10 (−0.19; 0.39) Long term: −0.04 (−0.19; 0.11) |
NR NR |
NR NR |
Kotilainen et al. 43 | Glycerol | Anesthetic IDT | 11 | Short term: −0.03 (−1.56; 1.50) | Short term: 0.19 (−1.34; 1.73) | NR | NR |
Tuakli et al. 40 | PRP | Contrast IDT | 47 | Short term: −0.27 (−0.86; 0.32) | Short term: −0.05 (−0.64; 0.53) | NR | NR |
Noriega et al. 41 | Stems cells | IM anesthetic | 72 | Short term: 0.68 (−0.15; 1.51) Intermediate term: −0.10 (−0.90; 0.70) Long term: −0.37 (−1.37; 0.44) |
Short term: 0.41 (−0.40; 1.22) Intermediate term: −0.49 (−1.31; 0.32) Long term: −0.44 (−1.25; 0.37) |
0 | 0.17 (0.03; 0.98) |
Peng et al. 15 | Methylen blue | Anesthetic IDT | 71 | Long term: −2.57 (−3.51; 1.93) | Long term: −3.18 (−3.89; 2.47) | NR | NR |
Kallewaard et al. 13 | Methylen blue | Saline + lidocaine + constrast IDT | 81 | Short term: −0.18 (−0.62; 0.25) Intermediate term: −0.12 (−0.56; 0.32) Long term: −1.32 (−3.37; 1.11) |
Short term: −0.28 (−0.72; 0.16) Intermediate term: −0.08 (−0.51; 0.36) Long term: −0.13 (−0.57; 0.32) |
5.39 (0.25; 115.86) | NC |
Feldman et al. 42 | Chymopapaïn | Distilled water IDT | 38 | Short term: ↘ 55% versus
26% Intermediate term: ↘ 65% versus 42% |
short term : ↘ 36 % versus 19 % | 0.43 (0.12; 1.59) | 0.28 (0.01; 7.44) |
AE, adverse events; IDT, intervertebral disc therapies; IM, intramuscular; NR, Not Reported; OR, odds ratio; SMD, standardized mean differences.