Clinical studies included in this review
Reference No. | Number of Patients | Successful Outcome | Complications | Nature of Trial | Follow-up (months) | |||
---|---|---|---|---|---|---|---|---|
n | % | CI (%) | n | % | ||||
8 | 26 | 20 | 77 | 59–95 | 0 | 0 | Case series | ? |
9 | 169 | 128 | 76 | 70–82 | 2 | 1.2 | Case series | 19 (mean) |
10 | 7 | 6 | 86 | 60–100 | 1 | 12.5 | Case series | 3–4 |
11 | 63 | 44 | 72 | 59–85 | 1 | 1.8 | Case control | 20–45 |
12 | 350 | 265 | 76 | 72–80 | 5 | 0.97 | Case series | 84 (mean) |
13 | 14 | 9 | 64 | 33–95 | 0 | 0 | Case series | 6 |
14 | 82 | 57 | 70 | 58–82 | 0 | 0 | Case series | 12–24 |
15 | 46 | 31 | 67 | 50–84 | 0 | 0 | Case series | 2–21 |
16 | 50 | 37 | 74 | 60–88 | 4 | 8 | Case series | 24–60 |
17 | 99 | 86 | 87 | 80–94 | 0 | 0 | Case series | 24 |
18 | 197 | 147 | 75 | 69–81 | 1 | 0.51 | Case series | Max. 44 |
19 | 147 | 115 | 78 | 71–85 | 1 | 0.6 | Case series | Max. 60 |
20 | 35 | 32 | 92 | 83–100 | 1 | 2.8 | Case series | 18 |
21 | 164 | 86 | * | * | 14 | 9.6 | Case series | At least 12 |
25 | 40 | 34 | 85 | 73–97 | 0 | 0 | Case series | 18 |
27 | 90 | 66 | 73 | 63–84 | 0 | 0 | Case series | 12–23 |
* In this trial, each patient was assigned to 1 of 3 groups: 1) those who met all selection criteria for PLDD (leg pain, positive physical examination finding such motor, sensory, or reflex deficits, and/or straight leg raise, contained disk herniation confirmed by diskography); 2) those who did not meet the selection criteria (had a normal physical examination, the presence of stenosis, spondylolisthesis, extruded disk fragment, leakage of diskographic dye from the outer annulus, multiple prior lumbar surgeries; or 3) those who could not be assigned to either of the first 2 groups for reasons such as diskography not being performed or inadequate physical examination data recorded in the chart. In group 1, 29 of 41 patients (70.7%; CI, 57%–85%) had successful outcomes. In group 2, 12 of 42 patients (29%; CI, 12%–42%) had successful outcomes. In group 3, 45 of 81 patients (56%; CI, 45%–66%) had successful outcomes. In group 4, 20 of 45 patients (44%; CI, 30%–59%) had successful outcomes.