Amniotic membrane and/or umbilical cord tissue for treatment of facet joint syndrome: a narrative review.

Amniotic membrane Chronic back pain Facet joint syndrome Low back pain Perinatal tissue Regenerative medicine Spondylosis Umbilical cord

Journal

Journal of orthopaedic surgery and research
ISSN: 1749-799X
Titre abrégé: J Orthop Surg Res
Pays: England
ID NLM: 101265112

Informations de publication

Date de publication:
02 Oct 2023
Historique:
received: 30 05 2023
accepted: 26 09 2023
medline: 4 10 2023
pubmed: 3 10 2023
entrez: 2 10 2023
Statut: epublish

Résumé

Musculoskeletal spine disorders, especially low back pain, induce enormous amounts of stress and financial burden on individuals and healthcare systems throughout the world. Disorders of the facet joints in the lumbar spine are the most predominant cause of back pain, resulting in facet joint syndrome (FJS). Conventional treatments for FJS are short-lived and have limitations and side effects. Thus, safer and more effective alternatives that can reduce pain and improve patient-reported outcomes are needed. Recently, the utilization of biologics, including the ones derived from perinatal tissue such as amniotic membrane (AM) and umbilical cord (UC), has significantly increased for regenerative medicine applications. This manuscript summarizes the outcomes of preclinical and clinical studies utilizing AM and/or UC for FJS. We identified no preclinical studies and 3 retrospective studies utilizing the search terms "amniotic membrane" and/or "umbilical cord" and "facet joint syndrome". The administration of AM + UC is safe and potentially efficacious for patients with FJS. However, more preclinical studies and appropriately powered, multi-center, prospective non-randomized and randomized controlled studies with longer follow-up are warranted to further evaluate the efficacy of AM + UC to justify its clinical use.

Identifiants

pubmed: 37784162
doi: 10.1186/s13018-023-04241-2
pii: 10.1186/s13018-023-04241-2
pmc: PMC10544465
doi:

Types de publication

Journal Article Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

744

Informations de copyright

© 2023. BioMed Central Ltd., part of Springer Nature.

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Auteurs

Ashim Gupta (A)

Regenerative Orthopaedics, Noida, India. ashim6786@gmail.com.
Future Biologics, Lawrenceville, GA, USA. ashim6786@gmail.com.
BioIntegrate, Lawrenceville, GA, USA. ashim6786@gmail.com.
South Texas Orthopaedic Research Institute (STORI Inc.), Laredo, TX, USA. ashim6786@gmail.com.

Nicola Maffulli (N)

Department of Musculoskeletal Disorders, School of Medicine and Surgery, University of Salerno, Fisciano, Italy.
San Giovanni di Dio e Ruggi D'Aragona Hospital "Clinica Ortopedica" Department, Hospital of Salerno, Salerno, Italy.
Barts and the London School of Medicine and Dentistry, Centre for Sports and Exercise Medicine, Queen Mary University of London, London, UK.
School of Pharmacy and Bioengineering, Keele University School of Medicine, Stoke On Trent, UK.

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Classifications MeSH