Evidence map›Paper›PMID 40713810›Full record

SynthesisJournal of orthopaedic surgery and research2025

Application and mechanism of percutaneous puncture disc platelet-rich plasma injection for lumbar disc herniation: a systematic review and meta-analysis.

Xingyang Xie, Yalin Peng, Guoping Liu, Qi Cao

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in Journal of orthopaedic surgery and research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. [Research progress of hydrogel-based growth factors for treatment of intervertebral disc degeneration].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2025
    Review
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Xingyang Xie *Department of Spine Surgery, The Second Affiliated Hospital, Hengyang Medical School, University of South China, Hengyang City, Hunan Province, 421000, China. 1607783687@qq.com.
Yalin Peng *Department of Spine Surgery, The Second Affiliated Hospital, Hengyang Medical School, University of South China, Hengyang City, Hunan Province, 421000, China.
Guoping LiuDepartment of Spine Surgery, The Second Affiliated Hospital, Hengyang Medical School, University of South China, Hengyang City, Hunan Province, 421000, China.
Qi CaoDepartment of Spine Surgery, The Second Affiliated Hospital, Hengyang Medical School, University of South China, Hengyang City, Hunan Province, 421000, China. caoqi69@163.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAlthough platelet-rich plasma (PRP) has been increasingly used for the treatment of lumbar disc herniation (LDH), its effect on patient outcomes lacks systematic assessment. This study aimed to compare the effects of PRP treatment and other treatments in LDH patients using the Oswestry Disability Index (ODI) and two visual analog scales (VASs) via a meta-analysis.

methodsWe systematically searched relevant studies from the PubMed, Embase, and Cochrane Library databases from their inception to October 24, 2024. The visual analog scale of back pain (VAS-BP), visual analog scale of leg pain (VAS-LP), pooled VAS and ODI score data at 1, 3, 6, and 12 months after surgery were extracted. A fixed/random effects model was used for the meta-analysis. Sensitivity analysis was performed to explore the main sources of heterogeneity and investigate the robustness of the results.

resultsThis meta-analysis included 8 studies involving 697 patients. The results revealed that the ODI in the PRP group was significantly lower than that in the control group at most time points after surgery (P < 0.05). The VAS-BP score at 3 and 6 months after surgery, the VAS-LP score at 3, 6, and 12 months after surgery, and the pooled VAS score at the 3 months after surgery (P < 0.05) were significantly lower in the PRP group.

conclusionsIntradiscal PRP injection can significantly alleviate long-term pain and dysfunction in LDH patients, and its efficacy is greater than that of the control treatment; however, further studies are needed to verify the long-term mechanism involved.

Indexed as

Intervertebral Disc DegenerationIntervertebral Disc DisplacementLumbar VertebraePlatelet-Rich PlasmaHumansPain MeasurementTreatment OutcomeIntradiscal injectionLumbar disc herniationMeta-analysisPain managementPlatelet-rich plasmaSpine surgery

Identifiers

PMID40713810
PMCPMC12297759

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.