Publication Name	World Journal of Orthopedics
Manuscript ID	116758
Country	China

Category	Clinical Neurology
Manuscript Type	Retrospective Study
Article Title	Is vertebral bone quality an independent predictor of total blood loss in transforaminal lumbar interbody fusion?
Manuscript Source	Unsolicited Manuscript
All Author List	Jing-Ming Wang, Tian-Tian Zhu, Lei Wang, Xiao-Duo Xu and Wei-Min Huang
Funding Agency and Grant Number
Corresponding Author	Wei-Min Huang, MD, PhD, Professor, Department of Orthopedics, The 960th Hospital of PLA, No. 25 Shifan Road, Jinan 250031, Shandong Province, China. ever_23@163.com
Key Words	Bone mineral density; Blood loss; Dual-energy X-ray absorptiometry; Osteoporosis; Vertebral bone quality; Transforaminal lumbar interbody fusion
Core Tip	The current study found preoperative magnetic resonance imaging-based vertebral bone quality (VBQ) score, particularly VBQ (S1), is independently correlated with total blood loss in patients undergoing transforaminal lumbar interbody fusion (TLIF). In multi-segment TLIF cases, greater blood loss is associated with increased perioperative hemorrhage and may lead to prolonged hospital stays. These findings suggest that VBQ assessment could serve as a useful preoperative tool for predicting bleeding risk and optimizing perioperative management in TLIF patients.
Citation	Wang JM, Zhu TT, Wang L, Xu XD, Huang WM. Is vertebral bone quality an independent predictor of total blood loss in transforaminal lumbar interbody fusion? World J Orthop 2026; In press

Received	2025-11-21 07:55
Peer-Review Started	2025-11-21 07:55
First Decision by Editorial Office Director	2025-12-05 09:09
Return for Revision	2025-12-05 09:09
Revised	2025-12-15 14:08
Publication Fee Transferred
Second Decision by Editor	2026-01-28 02:40
Second Decision by Editor-in-Chief
Final Decision by Editorial Office Director	2026-01-28 12:53
Articles in Press	2026-01-28 12:53
Edit the Manuscript by Language Editor
Typeset the Manuscript

ISSN	2218-5836 (online)
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