Percutaneous pedicle screws may be one of the causes of intermuscular hematoma following minimally invasive percutaneous treatment for thoracolumbar fractures

IF 1 4区医学 Q3 MEDICINE, RESEARCH & EXPERIMENTAL

Medical hypotheses Pub Date : 2026-04-01 Epub Date: 2026-02-23 DOI:10.1016/j.mehy.2026.111920

Lei Wu, Yuda Xu, Jun Zhang, Yanli Zhu, Rongming Xu, Changming Zhao

引用次数: 0

Abstract

Percutaneous pedicle screw fixation has emerged as a minimally invasive surgical approach for the treatment of thoracolumbar fractures, presenting benefits like diminished tissue trauma, minimal blood loss, and accelerated recovery. Despite these benefits, a number of patients still suffer from the occurrence of intermuscular hematoma after undergoing surgery. This hypothesis proposes that the structural characteristics of percutaneous pedicle screws, especially their hollow design, might play a role in the development of intermuscular hematoma. We explore the underlying potential mechanisms of this phenomenon and provide evidence from existing literature to support our hypothesis.

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经皮椎弓根螺钉可能是胸腰椎骨折微创经皮治疗后肌间血肿的原因之一

经皮椎弓根螺钉固定已成为治疗胸腰椎骨折的一种微创手术方法，其优点包括减少组织损伤、减少失血和加速恢复。尽管有这些好处，许多患者在手术后仍然遭受肌间血肿的发生。这一假设提出，经皮椎弓根螺钉的结构特点，特别是其中空设计，可能在肌间血肿的发展中起作用。我们探索这一现象的潜在机制，并从现有文献中提供证据来支持我们的假设。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Medical hypotheses 医学-医学：研究与实验

CiteScore

10.60

自引率

2.10%

发文量

167

审稿时长

60 days

期刊介绍： Medical Hypotheses is a forum for ideas in medicine and related biomedical sciences. It will publish interesting and important theoretical papers that foster the diversity and debate upon which the scientific process thrives. The Aims and Scope of Medical Hypotheses are no different now from what was proposed by the founder of the journal, the late Dr David Horrobin. In his introduction to the first issue of the Journal, he asks ''what sorts of papers will be published in Medical Hypotheses? and goes on to answer ''Medical Hypotheses will publish papers which describe theories, ideas which have a great deal of observational support and some hypotheses where experimental support is yet fragmentary''. (Horrobin DF, 1975 Ideas in Biomedical Science: Reasons for the foundation of Medical Hypotheses. Medical Hypotheses Volume 1, Issue 1, January-February 1975, Pages 1-2.). Medical Hypotheses was therefore launched, and still exists today, to give novel, radical new ideas and speculations in medicine open-minded consideration, opening the field to radical hypotheses which would be rejected by most conventional journals. Papers in Medical Hypotheses take a standard scientific form in terms of style, structure and referencing. The journal therefore constitutes a bridge between cutting-edge theory and the mainstream of medical and scientific communication, which ideas must eventually enter if they are to be critiqued and tested against observations.