Evidence map›Paper›PMID 42428778›Full record

ArticleFrontiers in surgery2026

Unilateral biportal endoscopic decompression for acute spontaneous spinal epidural hematoma at the cervicothoracic junction: a case report and literature review.

Longyao Cao, Hui Lu, Dongjie Zhang

Abstract readCase Reports
In one paragraph

Article in Frontiers in surgery, 2026. 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

3 authors.

Longyao CaoDepartment of Spinal Surgery, Bishan Hospital of Chongqing Medical University, Chongqing, China.
Hui LuDepartment of Spinal Surgery, Bishan Hospital of Chongqing Medical University, Chongqing, China.
Dongjie ZhangDepartment of Spinal Surgery, Bishan Hospital of Chongqing Medical University, Chongqing, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Spontaneous spinal epidural hematoma (SSEH) represents a rare neurosurgical emergency. While conventional open surgical decompression remains the standard of care, it necessitates substantial tissue dissection and is associated with prolonged recovery periods. Methods: The patient underwent enhanced magnetic resonance imaging (MRI) confirming SSEH at C7-T2. Surgical decompression and hematoma evacuation were performed using a unilateral biportal endoscopy (UBE) technique under general anesthesia. Results: UBE was completed successfully in 90 min with an estimated blood loss of 50 mL. The patient demonstrated significant neurological improvement, achieving independent ambulation with a walker by postoperative day 3. At the 6-month follow-up, she attained ASIA grade E with only minimal residual increase in lower limb muscle tone. Conclusions: UBE offers a viable minimally invasive alternative to open surgery for SSEH evacuation. This technique provides excellent visualization and precise decompression while preserving spinal stability, resulting in reduced surgical trauma and accelerated neurological recovery.

Indexed as

case reportliterature reviewminimally invasive spine surgeryspinal cord compressionspontaneous spinal epidural hematomasurgical decompressionunilateral biportal endoscopy

Identifiers

PMID42428778
PMCPMC13346037

What OpenQuestion holds

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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.