ArticleJoint diseases and related surgery2025
Hidden blood loss of percutaneous vertebroplasty for osteoporotic vertebral compression fractures.
Article in Joint diseases and related surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.
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3 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Unilateral extrapedicular versus unilateral and bilateral transpedicular approaches in percutaneous vertebral augmentation for osteoporotic vertebral compression fractures: A meta-analysis.Joint diseases and related surgery · 2026Pooled it
- Hidden blood loss in anterior cervical discectomy and fusion versus single-level anterior cervical corpectomy and fusion with adjacent discectomy for two-level cervical spondylotic myelopathy.Joint diseases and related surgery · 2026Article
- Influencing factors of readiness for discharge of elderly patients with osteoporotic vertebral compression fractures.Joint diseases and related surgery · 2026Article
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4 authors.
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Abstract
objectivesThe aim of this study was to evaluate the amount of hidden blood loss (HBL) in patients treated with percutaneous vertebroplasty (PVP) for thoracolumbar osteoporotic vertebral compression fractures (OVCFs) and to compare the HBL between unilateral extrapedicular approach and unilateral transpedicular approach. PATIENTS AND
methodsBetween February 2022 to February 2023, a total of 136 patients (49 males, 87 females; mean age: 76.4±9.5 years; range, 55 to 100 years) with thoracolumbar OVCFs treated with PVP were retrospectively analyzed. Patients who underwent unilateral transpedicular approach were divided into Group A (n=62) and patients who underwent unilateral extrapedicular approach were divided into Group B (n=74). Demographic results and clinical data were collected and compared between the two groups. The HBL was calculated according to the Sehat formula.
resultsThe mean operation duration was 31.7±9.9 min in Group A and 29.1±11.1 in Group B, indicating no statistically significant difference between the groups (p=0.159). The mean volume of bone cement instilled was 4.4±0.4 mL in Group A and 4.7±0.6 mL in Group B. The volume of cement injected in Group A was less than that of Group B (p=0.001). The mean hemoglobin loss and the amount of HBL were significantly lower in Group A than Group B (p=0.001 and p=0.040, respectively).
conclusionOur study results suggest that perioperative HBL cannot be ignored in PVP for thoracolumbar OVCFs, regardless of the surgical approach chosen. We should be more concerned about anemia in patients with thoracolumbar OVCFs after unilateral extrapedicular approach compared to the unilateral transpedicular approach.
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