{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T12:06:29Z","timestamp":1753877189107,"version":"3.41.2"},"reference-count":14,"publisher":"Oxford University Press (OUP)","issue":"8","license":[{"start":{"date-parts":[[2021,8,27]],"date-time":"2021-08-27T00:00:00Z","timestamp":1630022400000},"content-version":"vor","delay-in-days":26,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2021,8,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Spinal anesthesia is a common procedure performed in orthopedic surgery, and it is regarded as secure and safe. Although puncture-related complication of spinal anesthesia has a very low incidence, it would lead to dramatic neurological damage (tetra- or paraplegia). Early diagnosis and surgical decompression are mandatory to promote a better outcome. We present a case of acute spinal hematoma from T11 to L3, triggered by laborious anesthesia puncture after total knee arthroplasty. A prompt surgical decompression within few hours after diagnosis allowed rapid functional recovery and avoided permanent paraplegia.<\/jats:p>","DOI":"10.1093\/jscr\/rjab354","type":"journal-article","created":{"date-parts":[[2021,8,20]],"date-time":"2021-08-20T11:10:27Z","timestamp":1629457827000},"source":"Crossref","is-referenced-by-count":0,"title":["Spinal hematoma after total knee arthroplasty: a case report"],"prefix":"10.1093","volume":"2021","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7146-7765","authenticated-orcid":false,"given":"G","family":"Cortina","sequence":"first","affiliation":[{"name":"Department of Orthopaedic and Trauma Surgery, Campus Bio-Medico University, Rome, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M","family":"Collarile","sequence":"additional","affiliation":[{"name":"Department of Orthopedics, Joint Prosthetic, Arthroscopic Surgery and Sports Traumatology, Humanitas Castelli, Bergamo, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"V","family":"Condello","sequence":"additional","affiliation":[{"name":"Department of Orthopedics, Joint Prosthetic, Arthroscopic Surgery and Sports Traumatology, Humanitas Castelli, Bergamo, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"R","family":"Orlandi","sequence":"additional","affiliation":[{"name":"Department of Orthopedics, Joint Prosthetic, Arthroscopic Surgery and Sports Traumatology, Humanitas Castelli, Bergamo, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A","family":"Russo","sequence":"additional","affiliation":[{"name":"Department of Orthopedics, Joint Prosthetic, Arthroscopic Surgery and Sports Traumatology, Humanitas Castelli, Bergamo, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"V","family":"Madonna","sequence":"additional","affiliation":[{"name":"Department of Orthopedics, Joint Prosthetic, Arthroscopic Surgery and Sports Traumatology, Humanitas Castelli, Bergamo, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"N","family":"Pieracci","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Humanitas Gavazzeni, Bergamo, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2021,8,27]]},"reference":[{"key":"2021082722571820200_ref1","doi-asserted-by":"crossref","first-page":"780","DOI":"10.2106\/00004623-200704000-00012","article-title":"Projections of primary and revision hip and knee arthroplasty in the United States from 2005 to 2030","volume":"89","author":"Kurtz","year":"2007","journal-title":"J Bone Jt Surg"},{"key":"2021082722571820200_ref2","doi-asserted-by":"crossref","first-page":"950","DOI":"10.1097\/00000542-200410000-00021","article-title":"Severe neurological complications after central neuraxial blockades in Sweden 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