Evidence map›Paper›PMID 40007933›Full record

ArticleCureus2025

Estimated Blood Loss in Surgery for Thoracolumbar Fracture With Diffuse Idiopathic Skeletal Hyperostosis Using Percutaneous Pedicle Screws Compared to Surgery for Femoral Trochanteric Fractures.

Megumu Kawai, Takeshi Sasagawa

Abstract read
In one paragraph

Article in Cureus, 2025. 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

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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

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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

2 authors.

Megumu KawaiOrthopedic Surgery, Toyama Prefectural Central Hospital, Toyama, JPN.
Takeshi SasagawaOrthopedic Surgery, Toyama Prefectural Central Hospital, Toyama, JPN.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionLong posterior spinal stabilization is often needed for thoracolumbar fractures with diffuse idiopathic skeletal hyperostosis (DISH). Recently, surgery using percutaneous pedicle screws (PPS) has become more frequent. However, hidden blood loss (HBL) cannot be ignored in surgeries using PPS. The aim of this study was to measure estimated blood loss (EBL) including HBL in surgeries using PPS for thoracolumbar fractures with DISH, by comparing with EBL including HBL in surgeries for femoral trochanteric fractures, a common trauma among elderly people. MATERIALS AND

methodsTwenty-two patients who underwent surgery using PPS for thoracolumbar fracture with DISH were included (group D). Sixty-six patients with trochanteric fractures of the femur were matched to group D for age, sex, anticoagulant use, height, and weight and used as controls (group F). We evaluated intraoperative blood loss (IBL), EBL on the first and seventh postoperative days, and HBL on the first postoperative day. EBL was calculated based on hemoglobin values. IBL was collected from surgical records. HBL was calculated as the difference between EBL on the first postoperative day and IBL. Each variable was compared between groups.

resultsEBL was not significantly different between the two groups on either postoperative day one or day seven. IBL was significantly greater in group D than in group F. HBL was significantly less in group D than in group F. In group D, HBL accounted for 71 (%) of EBL on day one, whereas in group F, it accounted for 92 (%). DISCUSSION: Despite that surgery using PPS for thoracolumbar fractures with DISH requires fusions covering several vertebral levels, EBL was the same as in surgery for trochanteric fractures of the femur, and therefore, acceptable for elderly patients.

conclusionsEBL in surgery for thoracolumbar fracture with DISH using PPS is comparable to that for trochanteric fractures of the femur.

Indexed as

diffuse idiopathic skeletal hyperostosisfemoral trochanteric fracturehidden blood losspercutaneous pedicle screwsthoracolumbar fracture

Identifiers

PMID40007933
PMCPMC11850110

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