Intra-articular steroid injections for lumbar disk herniation: a systematic review and meta-analysis
This meta-analysis suggests that IA injections may relieve LDH symptoms, with TFESI showing the greatest pain relief and functional improvement. However, significant heterogeneity calls for standardized protocols and further research. Demographic factors minimally influenced outcomes, whereas methodological variability underscores treatment complexity. Future studies should emphasize methodological consistency and personalized approaches to optimize patient outcomes.
Authors
- Hariharan Subbiah Ponniah (ORCID: https://orcid.org/0000-0002-5471-9120)
- Abhishek Anil (ORCID: https://orcid.org/0000-0001-7289-2325)
- Daniele Ramsay (ORCID: https://orcid.org/0000-0001-5585-1118)
- Sajeenth Vishnu K
- Santhosh G. Thavarajasingam (ORCID: https://orcid.org/0000-0002-9274-0350)
- Ahkash Thavarajasingam
- Saran Singh Gill (ORCID: https://orcid.org/0000-0002-8544-8327)
- Ahmed Salih (ORCID: https://orcid.org/0000-0002-6470-3325)
- Salvatore Russo (ORCID: https://orcid.org/0000-0001-8537-1852)
- Srikar R. Namireddy (ORCID: https://orcid.org/0000-0001-5660-4039)
- Abith Ganesh Kamath (ORCID: https://orcid.org/0009-0004-4830-1969)
- Pratik Ramkumar
- Adrisa Prashar
- Sreeraag Kanakala
- Srihan Yalavarthy
- Tim Beutel
Institutions
- Imperial College Healthcare NHS Trust (GB)
- Medizinische Hochschule Hannover (DE)
- Imperial College London (GB)
Publication Details
- Journal
- Acta Neurochirurgica
- Published
- 2025-11-14
- DOI
- https://doi.org/10.1007/s00701-025-06676-4
- Primary Topic
- Spine and Intervertebral Disc Pathology
- Type
- article
- Field-Weighted Citation Impact
- 0.00