Evidence map›Paper›PMID 40461997›Full record

ArticleBMC surgery2025

Management of recurrent aggressive vertebral hemangiomas: a comparative study of piecemeal intralesional spondylectomy and modified total en bloc spondylectomy.

Dongjie Jiang, Zihuan Zhou, Qi Zhang, Shaohui He, Haitao Sun, Xiaopan Cai, Tielong Liu, Xinghai Yang, Haifeng Wei, Jianru Xiao

Abstract readComparative Study
PubMed Full text at PMC Publisher
In one paragraph

Article in BMC surgery, 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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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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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

10 authors.

Dongjie Jiang *Spinal Tumor Center, Department of Orthopedic Oncology, Shanghai Changzheng Hospital, Naval Medical University, 415 Fengyang Road, Shanghai, 200003, China.
Zihuan Zhou *Spinal Tumor Center, Department of Orthopedic Oncology, Shanghai Changzheng Hospital, Naval Medical University, 415 Fengyang Road, Shanghai, 200003, China.
Qi Zhang *Spinal Tumor Center, Department of Orthopedic Oncology, Shanghai Changzheng Hospital, Naval Medical University, 415 Fengyang Road, Shanghai, 200003, China.
Shaohui HeSpinal Tumor Center, Department of Orthopedic Oncology, Shanghai Changzheng Hospital, Naval Medical University, 415 Fengyang Road, Shanghai, 200003, China.
Haitao SunSpinal Tumor Center, Department of Orthopedic Oncology, Shanghai Changzheng Hospital, Naval Medical University, 415 Fengyang Road, Shanghai, 200003, China.
Xiaopan CaiSpinal Tumor Center, Department of Orthopedic Oncology, Shanghai Changzheng Hospital, Naval Medical University, 415 Fengyang Road, Shanghai, 200003, China.
Tielong LiuSpinal Tumor Center, Department of Orthopedic Oncology, Shanghai Changzheng Hospital, Naval Medical University, 415 Fengyang Road, Shanghai, 200003, China.
Xinghai YangSpinal Tumor Center, Department of Orthopedic Oncology, Shanghai Changzheng Hospital, Naval Medical University, 415 Fengyang Road, Shanghai, 200003, China.
Haifeng WeiSpinal Tumor Center, Department of Orthopedic Oncology, Shanghai Changzheng Hospital, Naval Medical University, 415 Fengyang Road, Shanghai, 200003, China. weihfspine@163.com.
Jianru XiaoSpinal Tumor Center, Department of Orthopedic Oncology, Shanghai Changzheng Hospital, Naval Medical University, 415 Fengyang Road, Shanghai, 200003, China. jianruxiao83@163.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe management of recurrent aggressive vertebral hemangiomas (AVHs) with neurological deficits poses a challenge due to their profuse vascularization and propensity for recurrence. The optimal approach to managing recurrence AVHs remains a topic of debate within the academic community.

methodsA retrospective analysis was conducted on a cohort of patients who experienced recurrent AVH in the thoracic and lumbar spine at our institution from August 2015 to July 2022. A total of 31 patients, underwent treatment with either piecemeal intralesional spondylectomy (PIS) or modified total en bloc spondylectomy (MTES). Clinical documentation and surgical outcomes, including pre- and postoperative neurological function assessed by the American Spinal Injury Association (ASIA) score, Numeric Rating Scale (NRS), surgical duration, blood loss, recurrence rate, and complications, were retrospectively presented and analyzed.

resultsThe study followed a cohort of 16 males and 15 females with recurrent AVHs in the thoracic or lumbar spine for a period ranging from 12 to 106 months. All patients presented with neurological deficits, with 20 patients undergoing PIS and 11 patients undergoing one-stage MTES. Both treatment modalities resulted in significant reductions in pain-NRS and ASIA scores. The MTES group experienced less intraoperative blood loss compared to the PIS group. During the follow-up period, four patients in the PIS group experienced recurrence. No serious complications or evidence of internal fixation failure were observed.

conclusionsThe modified TES technique presents a comprehensive resection, less blood loss, lower incidence of recurrence, and effective tumor control for recurrent AVHs in thoracic and lumbar spine through post-only approach.

Indexed as

HemangiomaLumbar VertebraeNeoplasm Recurrence, LocalSpinal NeoplasmsThoracic VertebraeAdultFemaleHumansMaleMiddle AgedRetrospective StudiesTreatment OutcomeYoung AdultAggressive vertebral hemangiomasModifiedPiecemeal intralesional spondylectomyRecurrentTotal en bloc spondylectomy

Identifiers

PMID40461997
PMCPMC12135413

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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.