{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,13]],"date-time":"2026-07-13T10:17:08Z","timestamp":1783937828775,"version":"3.55.0"},"reference-count":47,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,7,11]],"date-time":"2026-07-11T00:00:00Z","timestamp":1783728000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,7,11]],"date-time":"2026-07-11T00:00:00Z","timestamp":1783728000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"National Administration of Traditional Chinese Medicine, Science and Technology Department Co-constructed Project","award":["GZY-KJS-SD-2023-042"],"award-info":[{"award-number":["GZY-KJS-SD-2023-042"]}]},{"DOI":"10.13039\/501100007129","name":"Natural Science Foundation of Shandong Province","doi-asserted-by":"crossref","award":["ZR2023MH063"],"award-info":[{"award-number":["ZR2023MH063"]}],"id":[{"id":"10.13039\/501100007129","id-type":"DOI","asserted-by":"crossref"}]},{"DOI":"10.13039\/501100007129","name":"Natural Science Foundation of Shandong Province","doi-asserted-by":"crossref","award":["ZR2023LZY012"],"award-info":[{"award-number":["ZR2023LZY012"]}],"id":[{"id":"10.13039\/501100007129","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Global Spine Journal"],"abstract":"<jats:sec>\n                    <jats:title>Study Design<\/jats:title>\n                    <jats:p>Retrospective Study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To identify clinical risk factors for symptomatic epidural hematoma (SEH) following posterior lumbar decompression and fusion, with a particular focus on paraspinal muscle parameters.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We 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.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Multivariate 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.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Preoperative evaluation of coagulation status, BMD, and paraspinal muscle quality\u2014particularly multifidus FI, is clinically important for predicting and preventing SEH following lumbar spine surgery.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/21925682261469104","type":"journal-article","created":{"date-parts":[[2026,7,11]],"date-time":"2026-07-11T07:03:16Z","timestamp":1783753396000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Impact of Paraspinal Muscle Characteristics on the Risk of Symptomatic Epidural Hematoma Following Transforaminal Lumbar Interbody Fusion"],"prefix":"10.1177","author":[{"given":"Luming","family":"Kong","sequence":"first","affiliation":[{"name":"Shandong University of Traditional Chinese Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Huapeng","family":"Guan","sequence":"additional","affiliation":[{"name":"Affiliated Hospital of Shandong University of Traditional Chinese Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Songlin","family":"Liang","sequence":"additional","affiliation":[{"name":"Shandong University of Traditional Chinese Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Renchang","family":"Chen","sequence":"additional","affiliation":[{"name":"Shandong University of Traditional Chinese Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xintian","family":"Qu","sequence":"additional","affiliation":[{"name":"Shandong University of Traditional Chinese 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