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. 2015 Oct 23;2015(10):CD008572. doi: 10.1002/14651858.CD008572.pub2

Ercelen 2003.

Methods RTC
Participants VKV American Hospital, Pain Management Department, Istanbul, Turkey (N = 39)
Inclusion criteria
  • Chronic low‐back pain

  • Receiving some kind of conservative treatment ≥ 2 years

  • Persistent pain

  • Quality of life severely affected

  • No nerve compression found

  • Concordant pain reproduced at 1 or 2 suspicious levels with no pain or discordant pain with adjacent disc stimulation


Exclusion criteria
  • Spinal stenosis, instability, spondylolisthesis, diabetes mellitus, tumour infiltration, coagulation disorders, clinical radiculopathy, other neurological abnormalities or systemic inflammatory diseases

Interventions Group A was treated with a 120‐second 80°C lesion of the intervertebral disc after injection of a mixture of 1 to 2 mL of dye and local anaesthetic (N = 20)
Group B was treated with a 360‐second 80°C lesion of the intervertebral disc after injection of a mixture of 1 to 2 mL of dye and local anaesthetic (N = 19)
Outcomes No significant changes between groups in pain and function
  • Pain intensity: change in VAS score at 1 month: ‐3.4 (A), ‐2.9 (B)

  • Pain intensity: change in VAS score at 6 months: ‐1.3 (A), ‐1.4 (B)

  • Function: change in ODI score at 1 month: ‐16.1 (A), ‐17.8 (B)

  • Function: change in ODI score at 6 months: ‐3.6 (A), ‐4.3 (B)

Notes Dropouts: 2 (5%)
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk Participants randomly assigned to 2 treatment groups by computer
Allocation concealment (selection bias) Unclear risk Remained unclear from text
Blinding (performance bias and detection bias) 
 All outcomes ‐ patients? High risk Participants not blinded
Blinding (performance bias and detection bias) 
 All outcomes ‐ providers? High risk Providers not blinded
Blinding (performance bias and detection bias) 
 All outcomes ‐ outcome assessors? High risk Participants not blinded and all outcomes participant reported
Incomplete outcome data (attrition bias) 
 All outcomes ‐ drop‐outs? Low risk Two participants (5%) dropped out
Incomplete outcome data (attrition bias) 
 All outcomes ‐ ITT analysis? Low risk Attrition bias unlikely because of design ?
Selective reporting (reporting bias) Unclear risk No protocol available
Baseline characteristics similar? Low risk Groups comparable on relevant demographic and clinical variables
Co‐interventions avoided or similar? Unclear risk Remained unclear from text
Compliance acceptable? Low risk Irrelevant: single‐session intervention
Timing of outcome assessments similar? Low risk Outcomes measured directly after procedure and at 1 week, 2 weeks, 1 month, 2 months, 3 months and 6 months after procedure