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Table 1 Clinical characteristics of 12 cases (10 reported cases and our 2 cases)

From: Massive hemothorax due to bleeding from thoracic spinal fractures: a case series and systematic review

Author/ Year

Age

Sex

Injury mechanism

Thoracic spinal fracture as the bleeding source

(site/ Fx type)

Other sites of injury

Initial hemodynamic status

Side of HTX

Drained volume of Right HTX (mL)

Intervention

Hemostatic technique

Deterioration during the transfer

Spinal fixation

Prognosis

Dalvie/ 2000 [8]

28

M

Traffic accident

T4 / dislocation

NR

NR

Bilateral

NR

Right thoracotomy

spinal fixation

Yes

Performed

Survived

van Raaij/ 2000 [13]

55

F

Fall

T11 / Chance

Compression Fx (T10 & 12), chest, pelvis, limb

unstable

Right

1500

Right thoracotomy

bone wax, synthetic patch

NR

NR

Survived

Lu/ 2010 [10]

72

F

Traffic accident

T11 / burst + T12

NR

unstable

Bilateral

1300

Right thoracotomy

bone wax, gauze packing

NR

Performed

Survived

Masteller/ 2012 [11]

93

M

Fall

T10–11 / burst

chest, L1–2 Fx

NR

Right

1000

Only thoracentesis.

NR

Not performed

Dead

Masteller/ 2012 [11]

71

M

Transfer in OR

T11 / burst

none

unstable

(CPA later)

Right

3000

Only thoracentesis.

NR

Not performed

Dead

Okamoto/ 2018 [12]

81

M

Fall

T7 / Chance

NR

stable

(unstable later)

Right

1330

Right thoracotomy

bone wax, coagulant sheet

NR

Performed

Survived

Hirota/ 2019 [9]

74

F

Fall

T11 / Chance

none

unstable

Right

1200

Right thoracotomy

coagulant sheet

NR

Performed

Survived

Kaneko/ 2000 [14]

86

F

Unclear

T6 / dislocation

NR

unstable

Right

2000

Right thoracotomy

argon beam, iliopsoas muscle flap

NR

Not performed

Dead

Matsushita/ 2016 [16]

67

M

Hit by a lumber

T3 / dislocation

chest, T12 Fx (dislocation), limb

unstable

Bilateral

2090

Right thoracotomy

coagulant sheet

NR

Performed

Survived

Haruta/ 2016 [15]

78

F

Traffic accident

T8 / reverse Chance

TBI, chest, liver, pelvis

unstable

(CPA later)

Right

1400

Left thoracotomy followed by clamshell thoracotomy

gauze packing, coagulant sheet

NR

Not performed

Dead

Our case

81

M

Traffic accident

T8 / burst

TBI, C5 Fx, chest, pelvis, limbs

unstable

Right

1500

Right thoracotomy

gauze packing

Yes

Not performed

Survived

Our case

64

M

Fall

T7 / burst

TBI, chest, L1 Fx

stable

(unstable later)

Right

1300

Right thoracotomy

gauze packing, bone wax, coagulant sheet

Yes

Performed

Survived

  1. Abbreviations: C cervical spine, CPA cardiopulmonary arrest, F female, Fx fracture, HTX hemothorax, L lumber spine, M male, NR not reported, OR operation room, T thoracic spine, TBI traumatic brain injury