{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,22]],"date-time":"2026-10-22T18:39:33Z","timestamp":1792694373078,"version":"4.5.0"},"reference-count":51,"publisher":"Springer Science and Business Media LLC","issue":"6","license":[{"start":{"date-parts":[[2026,5,18]],"date-time":"2026-05-18T00:00:00Z","timestamp":1779062400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"},{"start":{"date-parts":[[2026,5,18]],"date-time":"2026-05-18T00:00:00Z","timestamp":1779062400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Spine Deform"],"published-print":{"date-parts":[[2026,11]]},"DOI":"10.1007\/s43390-026-01414-x","type":"journal-article","created":{"date-parts":[[2026,5,18]],"date-time":"2026-05-18T18:23:36Z","timestamp":1779128616000},"page":"2307-2314","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Predictors of hidden blood loss in ankylosing spondylitis patients receiving spinal deformity correction: osteotomy selection, bone density, and preoperative platelets"],"prefix":"10.1007","volume":"14","author":[{"given":"Zhong","family":"Zhang","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yuan-xian","family":"Leng","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ting","family":"Huang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rui","family":"Zhong","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zheng-Jun","family":"Hu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Deng-Xu","family":"Jiang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yi-Jian","family":"Liang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2529-5821","authenticated-orcid":false,"given":"Deng","family":"Zhao","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,5,18]]},"reference":[{"issue":"2","key":"1414_CR1","doi-asserted-by":"publisher","first-page":"163","DOI":"10.1097\/00000658-197402000-00009","volume":"179","author":"C Heughan","year":"1974","unstructured":"Heughan C, Grislis G, Hunt TK (1974) The effect of anemia on wound healing. Ann Surg 179(2):163\u2013167","journal-title":"Ann Surg"},{"issue":"6","key":"1414_CR2","doi-asserted-by":"publisher","first-page":"E374","DOI":"10.1097\/BRS.0000000000003800","volume":"46","author":"JC Huang","year":"2021","unstructured":"Huang JC, Qian BP, Qiu Y, Wang B, Yu Y (2021) When can one-level pedicle subtraction osteotomy obtain satisfied outcomes for severe thoracolumbar kyphosis with global kyphosis \u226580\u00b0 in Ankylosing Spondylitis: a comparison with two-level pedicle subtraction osteotomy. Spine (Phila Pa 1976) 46(6):E374\u2013E383","journal-title":"Spine (Phila Pa 1976)"},{"issue":"15","key":"1414_CR3","doi-asserted-by":"publisher","first-page":"1641","DOI":"10.1097\/BRS.0b013e318074c3ce","volume":"32","author":"KT Kim","year":"2007","unstructured":"Kim KT, Lee SH, Suk KS, Lee JH, Im YJ (2007) Spinal pseudarthrosis in advanced Ankylosing Spondylitis with sagittal plane deformity: clinical characteristics and outcome analysis. Spine (Phila Pa 1976) 32(15):1641\u20131647","journal-title":"Spine (Phila Pa 1976)"},{"issue":"9","key":"1414_CR4","doi-asserted-by":"publisher","first-page":"903","DOI":"10.1007\/BF03012228","volume":"45","author":"JE Tetzlaff","year":"1998","unstructured":"Tetzlaff JE, Yoon HJ, Bell G (1998) Massive bleeding during spine surgery in a patient with ankylosing spondylitis. Can J Anaesth 45(9):903\u2013906","journal-title":"Can J Anaesth"},{"issue":"9","key":"1414_CR5","doi-asserted-by":"publisher","first-page":"898","DOI":"10.3390\/life11090898","volume":"11","author":"M Tiglis","year":"2021","unstructured":"Tiglis M, Peride I, Petcu LC et al (2021) The ideal time for iron administration in anemia secondary to blood loss: an experimental animal model. Life Basel 11(9):898","journal-title":"Life Basel"},{"issue":"1","key":"1414_CR6","doi-asserted-by":"publisher","first-page":"67","DOI":"10.1016\/j.otsr.2015.10.003","volume":"102","author":"H Ju","year":"2016","unstructured":"Ju H, Hart RA (2016) Hidden blood loss in anterior lumbar interbody fusion (ALIF) surgery. Orthop Traumatol Surg Res 102(1):67\u201370","journal-title":"Orthop Traumatol Surg Res"},{"issue":"4","key":"1414_CR7","doi-asserted-by":"publisher","first-page":"180","DOI":"10.1097\/BSD.0000000000000626","volume":"31","author":"L Wen","year":"2018","unstructured":"Wen L, Jin D, Xie W et al (2018) Hidden blood loss in posterior lumbar fusion surgery: an analysis of risk factors. Clin Spine Surg 31(4):180\u2013184","journal-title":"Clin Spine Surg"},{"issue":"3","key":"1414_CR8","doi-asserted-by":"publisher","first-page":"151","DOI":"10.1016\/S0968-0160(00)00047-8","volume":"7","author":"KR Sehat","year":"2000","unstructured":"Sehat KR, Evans R, Newman JH (2000) How much blood is really lost in total knee arthroplasty? Correct blood loss management should take hidden loss into account. Knee 7(3):151\u2013155","journal-title":"Knee"},{"key":"1414_CR9","doi-asserted-by":"publisher","DOI":"10.1016\/S0968-0160(00)00047-8","author":"KR Sehat","year":"2000","unstructured":"Sehat KR, Evans R, Newman JH (2000) How much blood is really lost in total knee arthroplasty. Knee. https:\/\/doi.org\/10.1016\/S0968-0160(00)00047-8","journal-title":"Knee"},{"issue":"9","key":"1414_CR10","doi-asserted-by":"publisher","first-page":"5575","DOI":"10.1007\/s00402-023-04873-3","volume":"143","author":"Y Yang","year":"2023","unstructured":"Yang Y, Peng YX (2023) Hidden blood loss and its risk factors in percutaneous vertebroplasty surgery for osteoporotic vertebral compression fractures. Arch Orthop Trauma Surg 143(9):5575\u20135581","journal-title":"Arch Orthop Trauma Surg"},{"issue":"1","key":"1414_CR11","doi-asserted-by":"publisher","first-page":"225","DOI":"10.1007\/s00264-022-05586-9","volume":"47","author":"E Quarto","year":"2023","unstructured":"Quarto E, Bourret S, Rebollar Y et al (2023) Team management in complex posterior spinal surgery allows blood loss limitation. Int Orthop 47(1):225\u2013231","journal-title":"Int Orthop"},{"issue":"6","key":"1414_CR12","doi-asserted-by":"publisher","first-page":"270","DOI":"10.1097\/EJA.0b013e32835f4d5b","volume":"30","author":"SA Kozek-Langenecker","year":"2013","unstructured":"Kozek-Langenecker SA, Afshari A, Albaladejo P et al (2013) Management of severe perioperative bleeding: guidelines from the European society of anaesthesiology. Eur J Anaesthesiol 30(6):270\u2013382","journal-title":"Eur J Anaesthesiol"},{"issue":"1","key":"1414_CR13","doi-asserted-by":"publisher","first-page":"20","DOI":"10.1007\/BF03019809","volume":"48","author":"CS Degoute","year":"2001","unstructured":"Degoute CS, Ray MJ, Manchon M, Dubreuil C, Banssillon V (2001) Remifentanil and controlled hypotension; comparison with nitroprusside or esmolol during tympanoplasty. Can J Anaesth 48(1):20\u201327","journal-title":"Can J Anaesth"},{"issue":"10","key":"1414_CR14","doi-asserted-by":"publisher","first-page":"581","DOI":"10.5435\/JAAOS-D-14-00219","volume":"23","author":"MW Colman","year":"2015","unstructured":"Colman MW, Hornicek FJ, Schwab JH (2015) Spinal cord blood supply and its surgical implications. J Am Acad Orthop Surg 23(10):581\u2013591","journal-title":"J Am Acad Orthop Surg"},{"issue":"Suppl 2","key":"1414_CR15","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1227\/NEU.0b013e318276ee7e","volume":"72","author":"DK Resnick","year":"2013","unstructured":"Resnick DK (2013) Updated guidelines for the management of acute cervical spine and spinal cord injury. Neurosurgery 72(Suppl 2):1","journal-title":"Neurosurgery"},{"key":"1414_CR16","volume-title":"Growth reference data for 5\u201319 years","author":"World Health Organization","year":"2007","unstructured":"World Health Organization (2007) Growth reference data for 5\u201319 years. WHO, Geneva"},{"key":"1414_CR17","doi-asserted-by":"publisher","first-page":"895474","DOI":"10.1155\/2013\/895474","volume":"2013","author":"N Li","year":"2013","unstructured":"Li N, Li XM, Xu L, Sun WJ, Cheng XG, Tian W (2013) Comparison of QCT and DXA: osteoporosis detection rates in postmenopausal women. Int J Endocrinol 2013:895474","journal-title":"Int J Endocrinol"},{"issue":"1","key":"1414_CR18","doi-asserted-by":"publisher","first-page":"794","DOI":"10.1186\/s12891-021-04681-z","volume":"22","author":"L Wang","year":"2021","unstructured":"Wang L, Liu J, Song X, Luo M, Chen Y (2021) Hidden blood loss in adolescent idiopathic scoliosis patients undergoing posterior spinal fusion surgery: a retrospective study of 765 cases at a single center. BMC Musculoskelet Disord 22(1):794","journal-title":"BMC Musculoskelet Disord"},{"issue":"2","key":"1414_CR19","first-page":"224","volume":"51","author":"SB Nadler","year":"1962","unstructured":"Nadler SB, Hidalgo JH, Bloch T (1962) Prediction of blood volume in normal human adults. Surgery 51(2):224\u2013232","journal-title":"Surgery"},{"issue":"3","key":"1414_CR20","doi-asserted-by":"publisher","first-page":"277","DOI":"10.1097\/00000542-198303000-00016","volume":"58","author":"JB Gross","year":"1983","unstructured":"Gross JB (1983) Estimating allowable blood loss: corrected for dilution. Anesthesiology 58(3):277\u2013280","journal-title":"Anesthesiology"},{"key":"1414_CR21","doi-asserted-by":"publisher","first-page":"107602961882327","DOI":"10.1177\/1076029618823279","volume":"25","author":"S Tian","year":"2019","unstructured":"Tian S, Li H, Liu M, Zhang Y, Peng A (2019) Dynamic analysis of perioperative hidden blood loss in intertrochanteric fractures. Clin Appl Thromb Hemost 25:1076029618823279","journal-title":"Clin Appl Thromb Hemost"},{"issue":"1","key":"1414_CR22","doi-asserted-by":"publisher","first-page":"528","DOI":"10.1186\/s13018-020-02071-0","volume":"15","author":"Z Li","year":"2020","unstructured":"Li Z, Wang Y, Cao G et al (2020) Does the correction angle affect hidden blood loss in HTO. J Orthop Surg Res 15(1):528","journal-title":"J Orthop Surg Res"},{"issue":"1","key":"1414_CR23","doi-asserted-by":"publisher","first-page":"6","DOI":"10.1186\/s12891-020-03922-x","volume":"22","author":"H Cui","year":"2021","unstructured":"Cui H, Chen K, Lv S, Yuan C, Wang Y (2021) An analysis of perioperative hidden blood loss in femoral intertrochanteric fractures: bone density is an important influencing factor. BMC Musculoskelet Disord 22(1):6","journal-title":"BMC Musculoskelet Disord"},{"issue":"4","key":"1414_CR24","doi-asserted-by":"publisher","first-page":"674","DOI":"10.3390\/jpm13040674","volume":"13","author":"Z Ge","year":"2023","unstructured":"Ge Z, Zhao W, Wu Z et al (2023) Hidden blood loss and its possible risk factors in full endoscopic lumbar interbody fusion. J Pers Med 13(4):674","journal-title":"J Pers Med"},{"issue":"8","key":"1414_CR25","doi-asserted-by":"publisher","first-page":"2263","DOI":"10.1111\/os.13157","volume":"13","author":"S Xu","year":"2021","unstructured":"Xu S, Meng FQ, Guo C, Liang Y, Zhu ZQ, Liu HY (2021) Modified hidden blood loss based on drainage in posterior surgery on lumbar stenosis syndrome with rheumatoid arthritis. Orthop Surg 13(8):2263\u20132270","journal-title":"Orthop Surg"},{"key":"1414_CR26","doi-asserted-by":"publisher","first-page":"9305190","DOI":"10.1155\/2022\/9305190","volume":"2022","author":"X Li","year":"2022","unstructured":"Li X, Ding W, Zhao R, Yang S (2022) Risk factors of total blood loss and hidden blood loss in patients with adolescent idiopathic scoliosis: a retrospective study. BioMed Res Int 2022:9305190","journal-title":"BioMed Res Int"},{"issue":"23","key":"1414_CR27","doi-asserted-by":"publisher","first-page":"1638","DOI":"10.1097\/BRS.0000000000003095","volume":"44","author":"W Zhong","year":"2019","unstructured":"Zhong W, Chen Z, Zeng Y et al (2019) Two-level osteotomy for the corrective surgery of severe kyphosis from Ankylosing Spondylitis: a retrospective series. Spine (Phila Pa 1976) 44(23):1638\u20131646","journal-title":"Spine (Phila Pa 1976)"},{"issue":"1","key":"1414_CR28","doi-asserted-by":"publisher","first-page":"91","DOI":"10.3171\/2018.6.SPINE171277","volume":"30","author":"BP Qian","year":"2018","unstructured":"Qian BP, Huang JC, Qiu Y et al (2018) Complications of spinal osteotomy for thoracolumbar kyphosis secondary to ankylosing spondylitis in 342 patients: incidence and risk factors. J Neurosurg Spine 30(1):91\u201398","journal-title":"J Neurosurg Spine"},{"issue":"6","key":"1414_CR29","doi-asserted-by":"publisher","first-page":"103216","DOI":"10.1016\/j.otsr.2022.103216","volume":"108","author":"JM Kolz","year":"2022","unstructured":"Kolz JM, Neal KM (2022) Hidden blood loss in adolescent idiopathic scoliosis surgery. Orthop Traumatol Surg Res 108(6):103216","journal-title":"Orthop Traumatol Surg Res"},{"issue":"4","key":"1414_CR30","doi-asserted-by":"publisher","first-page":"350","DOI":"10.1097\/BRS.0b013e31826c63cb","volume":"38","author":"X Yu","year":"2013","unstructured":"Yu X, Xiao H, Wang R, Huang Y (2013) Prediction of massive blood loss in scoliosis surgery from preoperative variables. Spine (Phila Pa 1976) 38(4):350\u2013355","journal-title":"Spine (Phila Pa 1976)"},{"issue":"8","key":"1414_CR31","doi-asserted-by":"publisher","first-page":"1392","DOI":"10.1016\/j.spinee.2013.08.022","volume":"14","author":"ME Thompson","year":"2014","unstructured":"Thompson ME, Kohring JM, McFann K, McNair B, Hansen JK, Miller NH (2014) Predicting excessive hemorrhage in adolescent idiopathic scoliosis patients undergoing posterior spinal instrumentation and fusion. Spine J 14(8):1392\u20131398","journal-title":"Spine J"},{"issue":"4","key":"1414_CR32","doi-asserted-by":"publisher","first-page":"372","DOI":"10.1097\/BPO.0b013e3182870325","volume":"33","author":"MN Ialenti","year":"2013","unstructured":"Ialenti MN, Lonner BS, Verma K, Dean L, Valdevit A, Errico T (2013) Predicting operative blood loss during spinal fusion for adolescent idiopathic scoliosis. J Pediatr Orthop 33(4):372\u2013376","journal-title":"J Pediatr Orthop"},{"issue":"19","key":"1414_CR33","doi-asserted-by":"publisher","first-page":"1683","DOI":"10.1097\/BRS.0b013e318254168f","volume":"37","author":"A Jain","year":"2012","unstructured":"Jain A, Njoku DB, Sponseller PD (2012) Does patient diagnosis predict blood loss during posterior spinal fusion in children. Spine (Phila Pa 1976) 37(19):1683\u20131687","journal-title":"Spine (Phila Pa 1976)"},{"issue":"1","key":"1414_CR34","doi-asserted-by":"publisher","first-page":"582","DOI":"10.1186\/s12891-023-06716-z","volume":"24","author":"L Cai","year":"2023","unstructured":"Cai L, Chen L, Zhao C, Wang Q, Kang P (2023) Influencing factors of hidden blood loss after primary total hip arthroplasty through the posterior approach: a retrospective study. BMC Musculoskelet Disord 24(1):582","journal-title":"BMC Musculoskelet Disord"},{"key":"1414_CR35","doi-asserted-by":"publisher","first-page":"944481","DOI":"10.3389\/fsurg.2022.944481","volume":"9","author":"L Sheng","year":"2022","unstructured":"Sheng L, Liang A (2022) The hidden blood loss and its factors in patients undergoing minimally invasive knee arthroscopy. Front Surg 9:944481","journal-title":"Front Surg"},{"issue":"2","key":"1414_CR36","first-page":"e34606","volume":"15","author":"H \u00c7i Nka","year":"2023","unstructured":"\u00c7i Nka H, Yurtbay A, Erdo\u011fan F, B\u00fcy\u00fckceran I, Co\u015fkun HS, Tomak Y (2023) The effect of tourniquet duration on pain, bleeding, and functional outcomes in total knee arthroplasty. Cureus 15(2):e34606","journal-title":"Cureus"},{"issue":"4","key":"1414_CR37","doi-asserted-by":"publisher","first-page":"561","DOI":"10.1302\/0301-620X.86B4.14508","volume":"86","author":"KR Sehat","year":"2004","unstructured":"Sehat KR, Evans RL, Newman JH (2004) Hidden blood loss following hip and knee arthroplasty. correct management of blood loss should take hidden loss into account. J Bone Joint Surg Br 86(4):561\u2013565","journal-title":"J Bone Joint Surg Br"},{"issue":"5","key":"1414_CR38","first-page":"295","volume":"26","author":"JG Erskine","year":"1981","unstructured":"Erskine JG, Fraser C, Simpson R, Protheroe K, Walker ID (1981) Blood loss with knee joint replacement. J R Coll Surg Edinb 26(5):295\u2013297","journal-title":"J R Coll Surg Edinb"},{"issue":"6","key":"1414_CR39","doi-asserted-by":"publisher","first-page":"e32920","DOI":"10.1097\/MD.0000000000032920","volume":"102","author":"C Zhang","year":"2023","unstructured":"Zhang C, Chen Z, Wang M, Chen W, Ding Z (2023) Comparison of clinical outcomes with proximal femoral nail anti-rotation versus dynamic hip screw for unstable intertrochanteric femoral fractures: a meta-analysis. Medicine (Baltimore) 102(6):e32920","journal-title":"Medicine (Baltimore)"},{"issue":"6","key":"1414_CR40","doi-asserted-by":"publisher","first-page":"1569","DOI":"10.1007\/s00264-024-06090-y","volume":"48","author":"A Raitio","year":"2024","unstructured":"Raitio A, Heiskanen S, Soini V, Helenius L, Syv\u00e4nen J, Helenius I (2024) Hidden blood loss and bleeding characteristics in children with congenital scoliosis undergoing spinal osteotomies. Int Orthop 48(6):1569\u20131577","journal-title":"Int Orthop"},{"issue":"1","key":"1414_CR41","doi-asserted-by":"publisher","first-page":"25","DOI":"10.1007\/s00198-023-06925-1","volume":"35","author":"F Yan","year":"2024","unstructured":"Yan F, Wu L, Lang J, Huang Z (2024) Bone density and fracture risk factors in ankylosing spondylitis: a meta-analysis. Osteoporos Int 35(1):25\u201340","journal-title":"Osteoporos Int"},{"issue":"5","key":"1414_CR42","doi-asserted-by":"publisher","first-page":"839","DOI":"10.1007\/s00296-022-05109-0","volume":"42","author":"P \u017buchowski","year":"2022","unstructured":"\u017buchowski P, Dura M, Jeka D, Waszczak-Jeka M (2022) The applicability of trabecular bone score for osteoporosis diagnosis in ankylosing spondylitis. Rheumatol Int 42(5):839\u2013846","journal-title":"Rheumatol Int"},{"issue":"10","key":"1414_CR43","doi-asserted-by":"publisher","first-page":"1335","DOI":"10.1007\/s00296-016-3524-1","volume":"36","author":"A Leone","year":"2016","unstructured":"Leone A, Marino M, Dell\u2019Atti C, Zecchi V, Magarelli N, Colosimo C (2016) Spinal fractures in patients with ankylosing spondylitis. Rheumatol Int 36(10):1335\u20131346","journal-title":"Rheumatol Int"},{"issue":"7","key":"1414_CR44","doi-asserted-by":"publisher","first-page":"1878","DOI":"10.1007\/s00586-017-4950-9","volume":"26","author":"YS Wu","year":"2017","unstructured":"Wu YS, Zhang H, Zheng WH, Feng ZH, Chen ZX, Lin Y (2017) Hidden blood loss and the influential factors after percutaneous kyphoplasty surgery. Eur Spine J 26(7):1878\u20131883","journal-title":"Eur Spine J"},{"issue":"6","key":"1414_CR45","doi-asserted-by":"publisher","first-page":"565","DOI":"10.1097\/BPB.0000000000000975","volume":"31","author":"H Liu","year":"2022","unstructured":"Liu H, Li D, Zhang X et al (2022) Predictors of perioperative blood loss in primary posterior hemivertebra resection for pediatric patients with congenital scoliosis. J Pediatr Orthop B 31(6):565\u2013571","journal-title":"J Pediatr Orthop B"},{"issue":"2","key":"1414_CR46","first-page":"381","volume":"10","author":"V Soini","year":"2023","unstructured":"Soini V, Syv\u00e4nen J, Helenius I, Helenius L, Raitio A (2023) Perioperative risk factors for bleeding in adolescents undergoing pedicle screw instrumentation for scoliosis. Children (Basel) 10(2):381","journal-title":"Children (Basel)"},{"issue":"Suppl 1","key":"1414_CR47","doi-asserted-by":"publisher","first-page":"70","DOI":"10.1007\/s00586-017-5421-z","volume":"27","author":"H Koller","year":"2018","unstructured":"Koller H, Koller J, Mayer M, Hempfing A, Hitzl W (2018) Osteotomies in ankylosing spondylitis: where, how many, and how much. Eur Spine J 27(Suppl 1):70\u2013100","journal-title":"Eur Spine J"},{"key":"1414_CR48","doi-asserted-by":"publisher","first-page":"4","DOI":"10.1186\/s12893-015-0118-x","volume":"16","author":"X Hu","year":"2016","unstructured":"Hu X, Thapa AJ, Cai Z et al (2016) Comparison of Smith-Petersen osteotomy, pedicular subtraction osteotomy, and poly-segmental wedge osteotomy in treating rigid thoracolumbar kyphotic deformity in ankylosing spondylitis a systematic review and meta-analysis. BMC Surg 16:4","journal-title":"BMC Surg"},{"issue":"1","key":"1414_CR49","doi-asserted-by":"publisher","first-page":"E65","DOI":"10.1097\/BRS.0000000000003737","volume":"46","author":"JH Chow","year":"2021","unstructured":"Chow JH, Chancer Z, Mazzeffi MA et al (2021) Impact of preoperative platelet count on bleeding risk and allogeneic transfusion in multilevel spine surgery. Spine (Phila Pa 1976) 46(1):E65\u2013E72","journal-title":"Spine (Phila Pa 1976)"},{"issue":"7","key":"1414_CR50","first-page":"301","volume":"2","author":"EU Nwose","year":"2010","unstructured":"Nwose EU, Cann N, Butkowski E (2010) Whole blood viscosity assessment issues III: association with international normalized ratio and thrombocytopenia. N Am J Med Sci 2(7):301\u2013305","journal-title":"N Am J Med Sci"},{"issue":"5","key":"1414_CR51","doi-asserted-by":"publisher","first-page":"1175","DOI":"10.21037\/cdt-20-645","volume":"10","author":"Y Xiong","year":"2020","unstructured":"Xiong Y, Zhou W, Li M et al (2020) Association between platelet count and the risk of bleeding among patients with nonvalvular atrial fibrillation taking dabigatran after radiofrequency ablation: a cohort study. Cardiovasc Diagn Ther 10(5):1175\u20131183","journal-title":"Cardiovasc Diagn Ther"}],"container-title":["Spine Deformity"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s43390-026-01414-x.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s43390-026-01414-x","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s43390-026-01414-x.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,22]],"date-time":"2026-10-22T18:02:38Z","timestamp":1792692158000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s43390-026-01414-x"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,5,18]]},"references-count":51,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2026,11]]}},"alternative-id":["1414"],"URL":"https:\/\/doi.org\/10.1007\/s43390-026-01414-x","relation":{},"ISSN":["2212-134X","2212-1358"],"issn-type":[{"value":"2212-134X","type":"print"},{"value":"2212-1358","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,5,18]]},"assertion":[{"value":"27 September 2025","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"6 May 2026","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"18 May 2026","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"The authors have no conflicts of interest concerning this article.","order":1,"name":"Ethics","label":"Conflict of interest","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"Ethical approval for this study was granted by the IRB of The Third People\u2019s Hospital of Chengdu (Study ID: 2022-S-24).","order":2,"name":"Ethics","label":"Ethical approval","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"Informed consent was obtained from the parents of the patient for publication of this case report and any accompanying images.","order":3,"name":"Ethics","label":"Written informed consent","group":{"name":"EthicsHeading","label":"Declarations"}}]}}