Evidence map›Paper›PMID 42433093›Full record

ArticleGlobal spine journal2026

Impact of Paraspinal Muscle Characteristics on the Risk of Symptomatic Epidural Hematoma Following Transforaminal Lumbar Interbody Fusion.

Luming Kong, Huapeng Guan, Songlin Liang, Renchang Chen, Xintian Qu, Moji Wangchen, Zelin Yue, Nianhu Li

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In one paragraph

Article in Global spine journal, 2026. 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

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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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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

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0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

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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

8 authors.

Luming KongThe First Clinical Medical School, Shandong University of Traditional Chinese Medicine, Jinan, Shandong, China.
Huapeng GuanAffiliated Hospital of Shandong University of Traditional Chinese Medicine, Jinan, China.
Songlin LiangThe First Clinical Medical School, Shandong University of Traditional Chinese Medicine, Jinan, Shandong, China.
Renchang ChenThe First Clinical Medical School, Shandong University of Traditional Chinese Medicine, Jinan, Shandong, China.
Xintian QuThe First Clinical Medical School, Shandong University of Traditional Chinese Medicine, Jinan, Shandong, China.
Moji WangchenThe First Clinical Medical School, Shandong University of Traditional Chinese Medicine, Jinan, Shandong, China.
Zelin YueThe Fifth People's Hospital of Shanghai, Fudan University, Shanghai, China.
Nianhu LiAffiliated Hospital of Shandong University of Traditional Chinese Medicine, Jinan, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Study DesignRetrospective Study.ObjectiveTo identify clinical risk factors for symptomatic epidural hematoma (SEH) following posterior lumbar decompression and fusion, with a particular focus on paraspinal muscle parameters.MethodsWe retrospectively analyzed data from 105 patients who underwent transforaminal lumbar interbody fusion (TLIF) between January 2016 and January 2025, including 21 patients in the SEH group and 84 in the normal group. General information, surgical-related parameters, routine laboratory parameters, preoperative coagulation-related parameters, spinal imaging-related parameters, and muscle-related parameters were collected. Univariate analysis and binary multivariate logistic regression were performed to identify independent risk factors for SEH.ResultsMultivariate logistic regression identified prolonged thrombin time (OR = 1.780, P = 0.043) and increased multifidus fatty infiltration (FI) (OR = 1.116, P = 0.012) as independent risk factors for SEH following TLIF. Higher bone mineral density (BMD) was a protective factor (OR = 0.527, P = 0.023). No other variables showed significant associations in the regression model.ConclusionPreoperative evaluation of coagulation status, BMD, and paraspinal muscle quality-particularly multifidus FI, is clinically important for predicting and preventing SEH following lumbar spine surgery.

Indexed as

paraspinal musclesrisk factorssymptomatic epidural hematomatransforaminal lumbar interbody fusion

Identifiers

PMID42433093
PMCPMC13356033

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