Evidence map›Paper›PMID 32971446›Full record

ArticleInternational journal of surgery case reports2020

Potential risk of impertinent administration of methylprednisolone in lumbar spine surgery: A case report.

Lun-Li Xie, Jun Zhu, Xu-Dong Chen, Chang-Yuan Yang, Zhen-Lin Yan, Pu Dan

Abstract readCase Reports
In one paragraph

Article in International journal of surgery case reports, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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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

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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

6 authors.

Lun-Li XieThe Minimally Invasive Department of Orthopedics, Rehabilitation Medical Center, The First People's Hospital of Huaihua, Hunan, Huaihua, 418000, China.
Jun ZhuThe Minimally Invasive Department of Orthopedics, Rehabilitation Medical Center, The First People's Hospital of Huaihua, Hunan, Huaihua, 418000, China; The Department of Sport & Rehabilitation Medicine, Institution of Orthopedics, Medical School of Jishou University, Hunan, Jishou, 416000, China.
Xu-Dong ChenThe Minimally Invasive Department of Orthopedics, Rehabilitation Medical Center, The First People's Hospital of Huaihua, Hunan, Huaihua, 418000, China.
Chang-Yuan YangThe Minimally Invasive Department of Orthopedics, Rehabilitation Medical Center, The First People's Hospital of Huaihua, Hunan, Huaihua, 418000, China.
Zhen-Lin YanThe Minimally Invasive Department of Orthopedics, Rehabilitation Medical Center, The First People's Hospital of Huaihua, Hunan, Huaihua, 418000, China.
Pu DanThe Minimally Invasive Department of Orthopedics, Rehabilitation Medical Center, The First People's Hospital of Huaihua, Hunan, Huaihua, 418000, China; The Department of Sport & Rehabilitation Medicine, Institution of Orthopedics, Medical School of Jishou University, Hunan, Jishou, 416000, China. Electronic address: www.pudan555@126.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionSeveral complications of intravenous administration of Methylprednisolone in spine surgery have been reported previously. However, perioperative Addisonian crisis resulting from postoperative routine cessation of intravenous Methylprednisolone has been rarely reported. We here report a case of perioperative Addisonian crisis induced by postoperative routine cessation of intravenous Methylprednisolone. PRESENTATION OF CASE: To report a 56-year-old lady was diagnosed with Addisonian crisis on postoperative duration of lumbar spine surgery after routine cessation of intravenous Methylprednisolone on postoperative day 5. DISCUSSION: There are potential risk and medical complexity of the intravenous administration of Methylprednisolone perioperatively when patients underwent spine surgery, especially the patients with a history of adrenal insufficiency or hypothyroidism, and other endocrine diseases. The early diagnosis and effective replacement therapy after cessation of intravenous glucocorticoid to keep normal serum hormone levels can reduce risk and complication of Addisonian crisis.

conclusionAddisonian crisis may be triggered by the discontinuation of exogenous glucocorticoid. Physicians need to be immediately aware of this potentially lethal complication in patients with endocrine system diseases.

Indexed as

Addisonian crisisMethylprednisoloneSpine surgery

Identifiers

PMID32971446
PMCPMC7515971

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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 OpenQuestion graph.