RT Journal Article
SR Electronic
T1 Stem Cells Therapy as a Treatment for Discogenic Low Back Pain: A Systematic Review
JF International Journal of Spine Surgery
JO Int J Spine Surg
FD International Society for the Advancement of Spine Surgery
SP 86717
DO 10.14444/86717
A1 Randy, Randy
A1 Yosua, Khandar
A1 Guntara, Aswin
A1 Hardiansyah, Nicko P.
YR 2025
UL https://www.ijssurgery.com/content/early/2025/01/07/86717.abstract
AB Background Low back pain (LBP) is 1 of the most common problems that present in 80% of people. LBP can be caused by some pathologies, with discogenic pain being 1 source. Pain from LBP can become chronic and also cause disability. Treatment options for LBP varied from conservative to operative, and a novel treatment nowadays is using stem cells therapy to treat with pain from LBP.Methods Database searches from Pubmed and ScienceDirect from inception to 13 September 2023. A total of 283 discogenic LBP cases from 8 articles. This study measured clinical outcomes using a visual analog scale (VAS) and Oswestry Disability Index (ODI) obtained from each study.Results Functional outcomes in patients treated with stem cell therapy showed significant improvement ODI and VAS (P < 0.00001). Improvement also showed in Pfirrmann grade before and after treatment with stem cells (P = 0.005). Subgroup analyses using bone marrow aspirate concentrate also showed significant differences in both ODI and VAS (P < 0.00001).Conclusion Stem cells therapy could be beneficial as an option of treatment for discogenic LBP in improving pain and activity of daily living.Clinical Relevance Intradiscal stem cell therapy is a promising alternative for managing discogenic low back pain, offering improvements in pain and function.Level of Evidence 4.