Evidence map›Paper›PMID 39988823›Full record

Trial reportOrthopaedic surgery2025

Use of Fluid Gelatin in Lumbar Spinal Stenosis Undergoing Unilateral Biportal Endoscopic: A Prospective, Randomized Controlled Trial.

Hao Yan, Mei Gao, Yu Zhang, Huaibin Wang, Yushan Zhu, Tiangang Zhou, Ruzhan Yao, Weiqiang Liu, Jesse Li-Ling

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Orthopaedic surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

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

5 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Article
  4. Review
  5. Article
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

9 authors.

Hao YanDepartment of Spine Surgery, Weifang People's Hospital, Shandong Second Medical University, Weifang, Shandong, China.
Mei GaoDepartment of Hematology, Weifang People's Hospital, Shandong Second Medical University, Weifang, Shandong, China.
Yu ZhangDepartment of Spine Surgery, Weifang People's Hospital, Shandong Second Medical University, Weifang, Shandong, China.
Huaibin WangDepartment of Spine Surgery, Weifang People's Hospital, Shandong Second Medical University, Weifang, Shandong, China.
Yushan ZhuDepartment of Spine Surgery, Weifang People's Hospital, Shandong Second Medical University, Weifang, Shandong, China.
Tiangang ZhouDepartment of Spine Surgery, Weifang People's Hospital, Shandong Second Medical University, Weifang, Shandong, China.
Ruzhan YaoDepartment of Spine Surgery, Weifang People's Hospital, Shandong Second Medical University, Weifang, Shandong, China.
Weiqiang LiuDepartment of Spine Surgery, Weifang People's Hospital, Shandong Second Medical University, Weifang, Shandong, China.ORCID https://orcid.org/0009-0006-5039-7861
Jesse Li-LingCenter of Medical Genetics, West China Second University Hospital, Sichuan University, Chengdu, Sichuan, China.

Funding

Joint TCM Science & Technology Projects of National Demstration Zones for Comprehensive TCM Reform GZY-KJS-SD-2023-020Natural Science Foundation of Shandong Province ZR2023LZY012Shandong Province Medical and Health Technology Development Project 202204070291Weifang Science and Technology Development Project 2021YX006
6 · The paper itself

Abstract

objectivesIn patients with lumbar spinal stenosis (LSS) undergoing unilateral biportal endoscopic unilateral laminotomy for bilateral decompression (UBE-ULBD), damage to the epidural venous plexus often leads to bleeding, increasing the risk of surgical complications. Surgiflo Hemostatic Matrix (SHM) is a gelatin extracted from porcine skin, used for intraoperative hemostasis. This study aims to evaluate the effectiveness and safety of using SHM during UBE-ULBD surgery.

methodsFrom October 2023 to July 2024, a total of 96 patients with LSS underwent UBE-ULBD surgery. These 96 patients were randomly divided into two groups: the SHM group (48 patients, using flowable gelatin) and the non-SHM group (48 patients, not using flowable gelatin). The primary outcomes included intraoperative blood loss, postoperative drainage volume, and the 3-min hemostasis success rate. Secondary outcomes included symptomatic postoperative epidural hematoma (SPEH), surgical time, postoperative hospital stay, hospitalization costs, and complications. We used independent sample t-tests to compare continuous data, and chi-square tests or Fisher's exact tests to analyze categorical data.

resultsThe intraoperative blood loss and postoperative drainage volume in the SHM group were significantly less than those in the non-SHM group (p < 0.05), and the 3-min hemostasis success rate in the SHM group was significantly higher than that in the non-SHM group (p < 0.05). There were no statistically significant differences between the two groups regarding SPEH, postoperative hospital stay, hospitalization costs, and complications such as thrombosis formation and allergic reactions. However, the surgical time in the SHM group was significantly shorter than that in the non-SHM group (p < 0.05).

conclusionWhen patients with LSS undergo UBE-ULBD, the use of fluid gelatin can effectively reduce intraoperative and postoperative bleeding without introducing additional complications.

Indexed as

Decompression, SurgicalEndoscopyGelatinGelatin Sponge, AbsorbableHemostasis, SurgicalHemostaticsLaminectomyLumbar VertebraeSpinal StenosisAgedBlood Loss, SurgicalFemaleHumansMaleMiddle AgedPostoperative ComplicationsGelatinHemostaticsfluid gelatinhemostasislumbar decompressionlumbar spinal stenosisunilateral biportal endoscopic

Identifiers

PMID39988823
PMCPMC12050167

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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.