Evidence map›Paper›PMID 41407996›Full record

ArticleEuropean spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society2026

Analysis of risk factors for deep vein thrombosis after lumbar endoscopic single-segment decompression without fusion.

Zhiqiang Wang, Jianguo Zhang, Yongzhuang Ma, Liming He, Yue Wang, Haoyu Feng, Lin Sun

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In one paragraph

Article in European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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2citing papers in PubMed
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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

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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

2 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Zhiqiang WangShanxi Bethune Hospital, Shanxi Academy of Medical Sciences, Third Hospital of Shanxi Medical University, Taiyuan, China.
Jianguo ZhangShanxi Bethune Hospital, Shanxi Academy of Medical Sciences, Third Hospital of Shanxi Medical University, Taiyuan, China.
Yongzhuang MaShanxi Bethune Hospital, Shanxi Academy of Medical Sciences, Third Hospital of Shanxi Medical University, Taiyuan, China.
Liming HeShanxi Bethune Hospital, Shanxi Academy of Medical Sciences, Third Hospital of Shanxi Medical University, Taiyuan, China.
Yue WangShanxi Bethune Hospital, Shanxi Academy of Medical Sciences, Third Hospital of Shanxi Medical University, Taiyuan, China.
Haoyu FengShanxi Bethune Hospital, Shanxi Academy of Medical Sciences, Third Hospital of Shanxi Medical University, Taiyuan, China.
Lin SunShanxi Bethune Hospital, Shanxi Academy of Medical Sciences, Third Hospital of Shanxi Medical University, Taiyuan, China. sunlin@sxbqeh.com.cn.

Funding

Research and Innovation TeamProject for Scientific Breakthroughs at Shanxi Bethune Hospital 2024ZHANCHI10Science Fundation of Shanxi Bethune Hospital 2023YJ04the Fundamental Research Program of Shanxi Province 202303021211217the Fundamental Research Program of Shanxi Province 202403021212206
6 · The paper itself

Abstract

STUDY

designThis study was a retrospective review.

objectiveTo investigate the risk factors of deep vein thrombosis (DVT) after lumbar endoscopic single-segment decompression without fusion.

methodsThis retrospective study was conducted on patients who underwent lumbar endoscopic single-segment decompression without fusion at one institution between January 2025 and June 2025. Date on age, gender, Body Mass Index (BMI), hypertension, diabetes, smoking, drinking, lower limb muscle strength, preoperative mean arterial pressure (PMAP), lumbar operation segment, operation duration, intraoperative blood loss, intraoperative fluid infusion, intraoperative mean arterial pressure (IMAP) and postoperative laboratory indicators such as blood C-reactive protein (CRP) and D-dimer levels at admission and on the first postoperative day were collected. DVT was diagnosed through lower limbs venous ultrasound screening within three days after the operation. Univariate analysis was performed to identify the influencing factors of DVT, and then logistic regression was used to find out the independent risk factors. The Receiver Operating Characteristic (ROC) curve and area under the curve (AUC) were used to analyze the factors predicting DVT after lumbar endoscopic surgery.

resultsA total of 176 patients who underwent single-segment decompression without fusion via lumbar endoscopy were included in this study, and early postoperative DVT was identified in 37 patients, resulting in a DVT rate of 21%. Between the DVT and non-DVT groups, there were significant differences in age, gender, BMI, smoking, hypertension, IMAP, admission D-dimer, postoperative CRP, and postoperative D-dimer levels. The logistic regression analysis found that age and admission D-dimer were independent risks for DVT. The ROC curve showed that the AUC of age was 0.782, with a cut-off value was 59.5 years (sensitivity: 89.2%, specificity: 60.4%). The AUC of admission D-dimer was 0.738, with a cut-off value was 243.5 ng/mL (sensitivity: 48.6%; specificity: 93.8%).

conclusionAge and admission D-dimer are independent correlative factor for early DVT after lumbar endoscopic single-segment decompression without fusion, and patients over 60 years old with admission D-dimer higher than 243.5 ng/ml have a higher risk of DVT in the early postoperative period and our research provides clinical guidance for the risk factors of DVT formation after lumbar endoscopic surgery.

Indexed as

Decompression, SurgicalEndoscopyLumbar VertebraePostoperative ComplicationsVenous ThrombosisAdultAgedFemaleFibrin Fibrinogen Degradation ProductsHumansMaleMiddle AgedRetrospective StudiesRisk FactorsFibrin Fibrinogen Degradation Productsfibrin fragment DAgeD-dimerDeep venous thrombosisEndoscopic spine surgeryLumbar disc herniationLumbar spinal stenosis

Identifiers

PMID41407996

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