Evidence map›Paper›PMID 41111703›Full record

ArticleCureus2025

Deep Sulcus Sign Revealing Occult Pneumothorax After Lumbar Spine Surgery: A Case Report.

Hirohito Hirata, Yu Toda, Takaomi Kobayashi, Tomohito Yoshihara, Masatsugu Tsukamoto, Tadatsugu Morimoto

Abstract readCase Reports
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.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

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.

Hirohito HirataDepartment of Orthopaedic Surgery, Faculty of Medicine, Saga University, Saga, JPN.
Yu TodaDepartment of Orthopaedic Surgery, Faculty of Medicine, Saga University, Saga, JPN.
Takaomi KobayashiDepartment of Orthopaedic Surgery, Faculty of Medicine, Saga University, Saga, JPN.
Tomohito YoshiharaDepartment of Orthopaedic Surgery, Faculty of Medicine, Saga University, Saga, JPN.
Masatsugu TsukamotoDepartment of Orthopaedic Surgery, Faculty of Medicine, Saga University, Saga, JPN.
Tadatsugu MorimotoDepartment of Orthopaedic Surgery, Faculty of Medicine, Saga University, Saga, JPN.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Pneumothorax is a rare but potentially serious complication following posterior spinal fixation. We report the case of an 80-year-old woman who developed a left-sided pneumothorax after posterior fixation with percutaneous pedicle screws (PPS) for an L1 burst fracture. The procedure was uneventful, with no significant changes in intraoperative vital signs, and the patient remained asymptomatic postoperatively. However, routine postoperative radiographs revealed a left-sided pneumothorax, indicated by a deep sulcus sign. A chest tube was promptly inserted, resulting in resolution of the pneumothorax without recurrence. Postoperative computed tomography confirmed proper pedicle screw placement without evidence of mispositioning. This case illustrates the importance of recognizing subtle radiological signs of pneumothorax in postoperative imaging, even in the absence of symptoms. Routine collaboration between orthopedic surgeons and radiologists can help detect such complications early and allow for timely intervention, which is essential to avoid adverse outcomes.

Indexed as

deep sulcus signlumbar burst fracturepercutaneous pedicle screwspneumothoraxposterior spinal fixationpostoperative complicationspinal surgery

Identifiers

PMID41111703
PMCPMC12533791

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Registered trials

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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.