Hidden blood loss and its influencing factors after minimally invasive percutaneous transpedicular screw fixation in thoracolumbar fracture
Abstract Background Minimally invasive percutaneous transpedicular screw fixation (MIPTSF) is generally accepted as a minimally invasive treatment for thoracolumbar fracture. However, hidden blood loss (HBL) caused by this procedure is usually disregarded. This study aimed to investigate the amount...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2022-11-01
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| Series: | BMC Musculoskeletal Disorders |
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| Online Access: | https://doi.org/10.1186/s12891-022-05938-x |
| _version_ | 1798019100425846784 |
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| author | Xin Yue Jing Zhang Tianze Sun Wentao Zhang Ming Yang Zhonghai Li |
| author_facet | Xin Yue Jing Zhang Tianze Sun Wentao Zhang Ming Yang Zhonghai Li |
| author_sort | Xin Yue |
| collection | DOAJ |
| description | Abstract Background Minimally invasive percutaneous transpedicular screw fixation (MIPTSF) is generally accepted as a minimally invasive treatment for thoracolumbar fracture. However, hidden blood loss (HBL) caused by this procedure is usually disregarded. This study aimed to investigate the amount of HBL and its influencing factors after MIPTSF in thoracolumbar fracture. Methods Between October 2017 and December 2020, a total of 146 patients (106 males and 40 females, age range 21–59 years) were retrospectively examined, and their clinical and radiological data were recorded and analyzed. The Pearson or Spearman correlation analysis was used to investigate an association between patient’s characteristics and HBL. Multivariate linear regression analysis was performed to elucidate the related clinical or radiological factors of HBL. Results A substantial amount of HBL (164.00 ± 112.02 ml, 40.65% of total blood loss (TBL)) occurred after transpedicular screw internal fixation. Multivariate linear regression analysis revealed that HBL was positively associated with TBL (p < .001), percentage of vertebral height loss (VHL) (p < .001), percentage of vertebral height restoration (VHR) (p < .001), numbers of fractured vertebrae (P = .013), and numbers of fixed vertebral segments (P = .002). Conclusion A large amount of HBL was incurred in patients undergoing MIPTSF in thoracolumbar fracture. More importantly, TBL, percentage of VHL, percentage of VHR, the numbers of fractured vertebrae and fixed vertebral segments were independent risk factors for HBL. |
| first_indexed | 2024-04-11T16:35:10Z |
| format | Article |
| id | doaj.art-c7aa9786e76c4391ab5c8954edc84534 |
| institution | Directory Open Access Journal |
| issn | 1471-2474 |
| language | English |
| last_indexed | 2024-04-11T16:35:10Z |
| publishDate | 2022-11-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Musculoskeletal Disorders |
| spelling | doaj.art-c7aa9786e76c4391ab5c8954edc845342022-12-22T04:13:51ZengBMCBMC Musculoskeletal Disorders1471-24742022-11-012311810.1186/s12891-022-05938-xHidden blood loss and its influencing factors after minimally invasive percutaneous transpedicular screw fixation in thoracolumbar fractureXin Yue0Jing Zhang1Tianze Sun2Wentao Zhang3Ming Yang4Zhonghai Li5Department of Orthopaedics, First Affiliated Hospital of Dalian Medical UniversityDepartment of Orthopaedics, First Affiliated Hospital of Dalian Medical UniversityDepartment of Orthopaedics, First Affiliated Hospital of Dalian Medical UniversityDepartment of Orthopaedics, First Affiliated Hospital of Dalian Medical UniversityDepartment of Orthopaedics, First Affiliated Hospital of Dalian Medical UniversityDepartment of Orthopaedics, First Affiliated Hospital of Dalian Medical UniversityAbstract Background Minimally invasive percutaneous transpedicular screw fixation (MIPTSF) is generally accepted as a minimally invasive treatment for thoracolumbar fracture. However, hidden blood loss (HBL) caused by this procedure is usually disregarded. This study aimed to investigate the amount of HBL and its influencing factors after MIPTSF in thoracolumbar fracture. Methods Between October 2017 and December 2020, a total of 146 patients (106 males and 40 females, age range 21–59 years) were retrospectively examined, and their clinical and radiological data were recorded and analyzed. The Pearson or Spearman correlation analysis was used to investigate an association between patient’s characteristics and HBL. Multivariate linear regression analysis was performed to elucidate the related clinical or radiological factors of HBL. Results A substantial amount of HBL (164.00 ± 112.02 ml, 40.65% of total blood loss (TBL)) occurred after transpedicular screw internal fixation. Multivariate linear regression analysis revealed that HBL was positively associated with TBL (p < .001), percentage of vertebral height loss (VHL) (p < .001), percentage of vertebral height restoration (VHR) (p < .001), numbers of fractured vertebrae (P = .013), and numbers of fixed vertebral segments (P = .002). Conclusion A large amount of HBL was incurred in patients undergoing MIPTSF in thoracolumbar fracture. More importantly, TBL, percentage of VHL, percentage of VHR, the numbers of fractured vertebrae and fixed vertebral segments were independent risk factors for HBL.https://doi.org/10.1186/s12891-022-05938-xHidden blood loss (HBL)Risk factorsMinimally invasive percutaneous transpedicular screw fixation (MIPTSF)Multiple regression analysisComplication |
| spellingShingle | Xin Yue Jing Zhang Tianze Sun Wentao Zhang Ming Yang Zhonghai Li Hidden blood loss and its influencing factors after minimally invasive percutaneous transpedicular screw fixation in thoracolumbar fracture BMC Musculoskeletal Disorders Hidden blood loss (HBL) Risk factors Minimally invasive percutaneous transpedicular screw fixation (MIPTSF) Multiple regression analysis Complication |
| title | Hidden blood loss and its influencing factors after minimally invasive percutaneous transpedicular screw fixation in thoracolumbar fracture |
| title_full | Hidden blood loss and its influencing factors after minimally invasive percutaneous transpedicular screw fixation in thoracolumbar fracture |
| title_fullStr | Hidden blood loss and its influencing factors after minimally invasive percutaneous transpedicular screw fixation in thoracolumbar fracture |
| title_full_unstemmed | Hidden blood loss and its influencing factors after minimally invasive percutaneous transpedicular screw fixation in thoracolumbar fracture |
| title_short | Hidden blood loss and its influencing factors after minimally invasive percutaneous transpedicular screw fixation in thoracolumbar fracture |
| title_sort | hidden blood loss and its influencing factors after minimally invasive percutaneous transpedicular screw fixation in thoracolumbar fracture |
| topic | Hidden blood loss (HBL) Risk factors Minimally invasive percutaneous transpedicular screw fixation (MIPTSF) Multiple regression analysis Complication |
| url | https://doi.org/10.1186/s12891-022-05938-x |
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