{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,26]],"date-time":"2026-06-26T06:54:49Z","timestamp":1782456889380,"version":"3.54.5"},"reference-count":32,"publisher":"MDPI AG","issue":"22","license":[{"start":{"date-parts":[[2023,11,18]],"date-time":"2023-11-18T00:00:00Z","timestamp":1700265600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100012632","name":"NAZARBAYEV UNIVERSITY Faculty Development Competitive Research","doi-asserted-by":"publisher","award":["021220FD2851"],"award-info":[{"award-number":["021220FD2851"]}],"id":[{"id":"10.13039\/501100012632","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100012632","name":"NAZARBAYEV UNIVERSITY Faculty Development Competitive Research","doi-asserted-by":"publisher","award":["11022021FD2906"],"award-info":[{"award-number":["11022021FD2906"]}],"id":[{"id":"10.13039\/501100012632","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Diagnostics"],"abstract":"<jats:p>The objective of this study was to compare the outcomes of the ultrasound- and fluoroscopy-guided techniques in the management of back pain. Using PubMed, Scopus, and the Cochrane Library, we searched randomized controlled trials (RCTs) published before May 2023, which reported relevant data on the topic. The effectiveness of the ultrasound-guided (US-guided) and fluoroscopy-guided (FL-guided) approaches for back pain management was compared in terms of postoperative pain intensity, postoperative functional outcomes, and postoperative complications. Subgroup analyses were conducted for different postoperative periods. Eight studies were included in the analysis. There was no significant difference in post-procedural pain relief at one week, two weeks, one month, two months, and three months between the US-guided and FL-guided interventions for back pain management (SMD with 95% CI is \u22120.01 [\u22120.11, 0.10]), p = 0.91, I2 = 0%). In terms of the postoperative functional outcomes assessed by the \u201cOswestry Disability Index\u201d (ODI) functionality score, the model tends to favor the FL-guided injections over the US-guided injections (SMD with 95% CI: 0.13 [\u22120.00, 0.25], p = 0.05, I2 = 0). Finally, the US-guided and FL-guided injections did not show significantly different results in terms of postoperative complications (RR with 95% CI is 0.99 [0.49, 1.99], p = 0.97, I2 = 0). The subgroup analysis also did not demonstrate differences between the US-guided and FL-guided techniques in the following outcomes: vasovagal reaction, transient headache, and facial flushing. There was no significant difference between the US-guided and FL-guided injections for treating back pain in terms of postoperative pain intensity and complications. Still, the model tends to favor the FL-guided injections over the US-guided injections in terms of functionality.<\/jats:p>","DOI":"10.3390\/diagnostics13223474","type":"journal-article","created":{"date-parts":[[2023,11,18]],"date-time":"2023-11-18T07:33:18Z","timestamp":1700292798000},"page":"3474","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":19,"title":["Ultrasound-Guided vs. Fluoroscopy-Guided Interventions for Back Pain Management: A Systematic Review and Meta-Analysis of Randomized Controlled Trials"],"prefix":"10.3390","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6007-9326","authenticated-orcid":false,"given":"Dmitriy","family":"Viderman","sequence":"first","affiliation":[{"name":"Department of Surgery, Section of Anesthesiology, Intensive Care, and Pain Medicine, Nazarbayev University School of Medicine (NUSOM), Astana 020000, Kazakhstan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2446-3109","authenticated-orcid":false,"given":"Mina","family":"Aubakirova","sequence":"additional","affiliation":[{"name":"Department of Surgery, Section of Anesthesiology, Intensive Care, and Pain Medicine, Nazarbayev University School of Medicine (NUSOM), Astana 020000, Kazakhstan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anuar","family":"Aryngazin","sequence":"additional","affiliation":[{"name":"Department of Mechanical and Aerospace Engineering, School of Engineering and Digital Sciences, Nazarbayev University, Astana 010000, Kazakhstan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0305-3541","authenticated-orcid":false,"given":"Dinara","family":"Yessimova","sequence":"additional","affiliation":[{"name":"Department of Surgery, Section of Anesthesiology, Intensive Care, and Pain Medicine, Nazarbayev University School of Medicine (NUSOM), Astana 020000, Kazakhstan"},{"name":"Department of Health Care Management, Faculty of Economics & Management, Technische Universit\u00e4t Berlin, 13355 Berlin, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dastan","family":"Kaldybayev","sequence":"additional","affiliation":[{"name":"Department of Mechanical and Aerospace Engineering, School of Engineering and Digital Sciences, Nazarbayev University, Astana 010000, Kazakhstan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ramil","family":"Tankacheyev","sequence":"additional","affiliation":[{"name":"Department of Pain Medicine, National Neurosurgery Center, Astana 010000, Kazakhstan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7074-4377","authenticated-orcid":false,"given":"Yerkin G.","family":"Abdildin","sequence":"additional","affiliation":[{"name":"Department of Mechanical and Aerospace Engineering, School of Engineering and Digital Sciences, Nazarbayev University, Astana 010000, Kazakhstan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2023,11,18]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"181","DOI":"10.1097\/00000542-200407000-00028","article-title":"Ultrasound Guidance in Caudal Epidural Needle Placement","volume":"101","author":"Chen","year":"2004","journal-title":"Anesthesiology"},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"69","DOI":"10.1007\/s00256-012-1434-1","article-title":"Ultrasound-Guided Selective Nerve Root Block versus Fluoroscopy-Guided Transforaminal Block for the Treatment of Radicular Pain in the Lower Cervical Spine: A Randomized, Blinded, Controlled Study","volume":"42","author":"Jee","year":"2013","journal-title":"Skeletal Radiol."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"262","DOI":"10.1097\/EJA.0000000000000103","article-title":"Ultrasound versus Fluoroscopic-Guided Epidural Steroid Injections in Patients with Degenerative Spinal Diseases: A Randomised Study","volume":"32","author":"Evansa","year":"2015","journal-title":"Eur. 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