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The Effect of Intradiscal Platelet-Rich Plasma Injection for Management of Discogenic Lower Back Pain: A Meta-Analysis

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Abstract
Objective: Although several researches of animal and human subjects have yielded promising results regarding intradiscal injection of platelet-rich plasma (PRP) for the management of intervertebral disc (IVD) pathologies, small sample sizes and unstandardized graft preparation procedures hampered these research efforts. Therefore, we conducted a metaanalysis to evaluate the effectiveness of intradiscal PRP injection for the treatment of discogenic lower back pain.

Methods: The PubMed, SCOPUS, Embase, and Cochrane Library databases were systematically searched for relevant studies published from January 01, 1980 to December 14, 2020. The keywords used for the search were (platelet-rich plasma) AND (intradiscal OR back pain OR lumbar spine OR discogenic). Filters were used to select studies with human participants; all study designs were included.

Results: After the systematic review, three articles, including one randomized control trial and two prospective observational studies, were included in the final analysis. Analysis of changes in visual analogue scale (VAS) scores showed that VAS scores were significantly reduced two and six months after intradiscal PRP injection (two months: standardized mean difference [SMD] = -0.837, 95% CI = -1.158 to -0.516, P < 0.001; six months: SMD = - 1.430, 95% CI = -2.209 to 0.652, P < 0.001), but not after one month (SMD = 0.661, 95% CI = -1.346 to 0.023, P = 0.058). Regarding changes in Owestry Disability Index (ODI), ODI scores were significantly reduced after six months (SMD = -0.964, 95% CI = - 1.885 to -0.043, P = 0.040).

Conclusion: Intradiscal PRP injections are effective in relieving pain and improving disabilities caused by discogenic lower back pain. However, the pain-reducing effect significantly manifests two or six months after the injections, but not after one month.
Author(s)
박동휘장민철
Issued Date
2021
Type
Article
Keyword
AnalysisBack painBackacheCare and treatmentdegenerative disc diseasediscogenic lower back painintervertebral discOriginal ResearchPainplatelet-rich plasmaResearchreview
DOI
10.2147/JPR.S292335
URI
https://oak.ulsan.ac.kr/handle/2021.oak/7825
https://ulsan-primo.hosted.exlibrisgroup.com/primo-explore/fulldisplay?docid=TN_cdi_doaj_primary_oai_doaj_org_article_7ea823e198f44d18a92d8727d2539623&amp;context=PC&amp;vid=ULSAN&amp;lang=ko_KR&amp;search_scope=default_scope&amp;adaptor=primo_central_multiple_fe&amp;tab=default_tab&amp;query=any,contains,The%20Effect%20of%20Intradiscal%20Platelet-Rich%20Plasma%20Injection%20for%20Management%20of%20Discogenic%20Lower%20Back%20Pain:%20A%20Meta-Analysis&amp;offset=0&amp;pcAvailability=true
Publisher
Journal of Pain Research
Location
뉴질랜드
Language
한국어
ISSN
1178-7090
Citation Volume
14
Citation Number
0
Citation Start Page
505
Citation End Page
512
Appears in Collections:
Medicine > Medicine
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