{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,7]],"date-time":"2026-08-07T16:07:39Z","timestamp":1786118859102,"version":"build-2736575974"},"reference-count":10,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"C","license":[{"start":{"date-parts":[[2025,4,1]],"date-time":"2025-04-01T00:00:00Z","timestamp":1743465600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2025,4,1]],"date-time":"2025-04-01T00:00:00Z","timestamp":1743465600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2025,3,6]],"date-time":"2025-03-06T00:00:00Z","timestamp":1741219200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2025,4]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction and importance:<\/jats:title>\n                    <jats:p>With an incidence ranging from 0.4 % to 2.4 %, post-operative hematoma after anterior cervical discectomy and fusion (ACDF) is considered as potentially fatal since it can rapidly lead to acute airway obstruction and respiratory failure.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case report:<\/jats:title>\n                    <jats:p>A 31-year-old male patient underwent a 2-level ACDF. On postoperative day 2, the patient developed thoracic pain and dysphagia. Imaging revealed a cervical hematoma without airway compromise or other critical symptoms. Conservative management was initiated with corticosteroids and close monitoring. Over the next several days, the hematoma reduced in size, and the patient recovered without requiring surgical intervention.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Clinical discussion:<\/jats:title>\n                    <jats:p>Hematoma formation after ACDF is rare but can be life-threatening due to potential airway compromise, often necessitating reoperation. While the patient had a large hematoma, conservative management was chosen due to a patent airway, normal vitals, and symptom resolution after 8 h, avoiding the risks of surgery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>This case highlights that with careful patient selection, including stable vital signs, patent airway, and favorable response to steroids, conservative management may avoid the morbidity of reoperation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Highlights<\/jats:title>\n                  <\/jats:sec>","DOI":"10.1016\/j.ijscr.2025.111132","type":"journal-article","created":{"date-parts":[[2025,3,11]],"date-time":"2025-03-11T20:49:29Z","timestamp":1741726169000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":1,"title":["Conservative management of a cervical hematoma after anterior cervical discectomy and fusion: A case report"],"prefix":"10.1097","volume":"129","author":[{"given":"Mohammad","family":"Daher","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gilles","family":"el Hage","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Hotel Dieu de France Hospital, Beirut, Lebanon"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrea","family":"Achkouty","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Hotel Dieu de France Hospital, Beirut, Lebanon"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nadim","family":"Khoueir","sequence":"additional","affiliation":[{"name":"ENT Department, Hotel Dieu de France Hospital, Beirut, Lebanon"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amer","family":"Sebaaly","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Hotel Dieu de France Hospital, Beirut, Lebanon"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R1-30-20260423","doi-asserted-by":"crossref","first-page":"1311","DOI":"10.1097\/BRS.0000000000005041","article-title":"Laminoplasty versus laminectomy and posterior fusion for cervical myelopathy: a meta-analysis of radiographic and clinical outcomes","volume":"49","author":"Daher,","year":"2024","journal-title":"Spine (Phila Pa 1976)"},{"key":"R2-30-20260423","doi-asserted-by":"crossref","first-page":"1342","DOI":"10.1016\/j.spinee.2024.02.016","article-title":"Anterior cervical discectomy and fusion versus cervical disc arthroplasty: an epidemiological review of 433,660 surgical patients from 2011 to 2021","volume":"24","author":"Singh,","year":"2024","journal-title":"Spine J."},{"key":"R3-30-20260423","doi-asserted-by":"crossref","first-page":"7139","DOI":"10.3390\/jcm13237139","article-title":"Degenerative cervical myelopathy: history, physical examination, and diagnosis","volume":"13","author":"Balmaceno-Criss,","year":"2024","journal-title":"J. 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