Evidence map›Paper›PMID 40069751›Full record

ReviewBMC musculoskeletal disorders2025

Spontaneous psoas hematoma following posterior lumbar fusion surgery: a mini literature review.

Hai-Hong Zhao, You-Feng Guo, Shu-Bao Zhang, Harshita-Shahi, Hao-Wei Xu, Bin Yu, Hui-Da Gu, Shan-Jin Wang, Tao Hu, De-Sheng Wu

Abstract readCase ReportsReview
PubMed Full text at PMC Publisher
In one paragraph

Review in BMC musculoskeletal disorders, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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

1 citing paper in PubMed.

  1. 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

10 authors.

Hai-Hong Zhao *Yangpu Hospital, School of Medicine, Tongji University, Shanghai, 200092, China.
You-Feng Guo *Department of Spine Surgery, Shanghai East Hospital, School of Medicine, Tongji University, Shanghai, 200092, China.
Shu-Bao Zhang *Department of Spine Surgery, Shanghai East Hospital, School of Medicine, Tongji University, Shanghai, 200092, China.
Harshita-ShahiDepartment of Spine Surgery, Shanghai East Hospital, School of Medicine, Tongji University, Shanghai, 200092, China.
Hao-Wei XuDepartment of Spine Surgery, Shanghai East Hospital, School of Medicine, Tongji University, Shanghai, 200092, China.
Bin YuDepartment of Spine Surgery, Shanghai East Hospital, School of Medicine, Tongji University, Shanghai, 200092, China.
Hui-Da GuDepartment of Spine Surgery, Shanghai East Hospital, School of Medicine, Tongji University, Shanghai, 200092, China.
Shan-Jin WangDepartment of Spine Surgery, Shanghai East Hospital, School of Medicine, Tongji University, Shanghai, 200092, China.
Tao HuDepartment of Spine Surgery, Shanghai East Hospital, School of Medicine, Tongji University, Shanghai, 200092, China. dr_hutao@tongji.edu.cn.
De-Sheng WuDepartment of Spine Surgery, Shanghai East Hospital, School of Medicine, Tongji University, Shanghai, 200092, China.

Funding

Academic Leaders Program of Health Committee of Pudong New Area PWRd2023-07Science and Technology Development Fund of Shanghai Pudong New Area PKJ2023-Y40Shanghai East Hospital Xuri Young Excellent Talents Program 2019xrrcjh04
6 · The paper itself

Abstract

backgroundSpontaneous psoas hematoma is a very rare clinical entity, and the pathogenesis and pathologic mechanisms of spontaneous psoas hematoma remain unclear, thus, it is of great value to explore. CASE PRESENTATION: We encountered a patient who developed femoral nerve paralysis due to psoas muscle hematoma following posterior lumbar fusion surgery. A 69-year-old female with lumbar spinal canal stenosis underwent posterior lumbar fusion at the L3-4 and L4-5 levels. On the 7th postoperative day, the patient complained of severe abdominal pain along with right limb pain and weakness. A computed tomography image showed a large acute psoas muscle hematoma on the right side. After conservative treatment, the psoas hematoma was resolved and the patient's femoral nerve paralysis gradually recovered.

conclusionsSpontaneous psoas hematoma is a rare and extremely dangerous complication after lumbar spine surgery. For high - risk patients who have taken anticoagulants before the operation, we must be vigilant against the occurrence of this complication.

Indexed as

HematomaLumbar VertebraePostoperative ComplicationsPsoas MusclesSpinal FusionSpinal StenosisAgedFemaleFemoral NeuropathyHumansTomography, X-Ray ComputedFemoral nerve palsyPsoas hematomaTherapy

Identifiers

PMID40069751
PMCPMC11900023

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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.