{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,4,27]],"date-time":"2025-04-27T20:10:10Z","timestamp":1745784610338,"version":"3.40.4"},"reference-count":28,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"accepted":{"date-parts":[[2017,9,15]]},"abstract":"<jats:p>Anterior cervical discectomy and fusion (ACDF) for cord compression is a safe and effective procedure with good outcomes. However, worsening of myelopathy is the most feared adverse event of the surgery. We report the case of a 36-year-old male patient who presented with an acute non-traumatic C5\u20136 cervical disc herniation causing incomplete quadriparesis. He underwent an uncomplicated ACDF at C5\u20136, and after an initial period of improvement, he developed a delayed onset of an anterior cord syndrome on day 3, without any discerning cause. We have reviewed similar cases reported in the literature and believe that our patient\u2019s postsurgical course is consistent with a delayed ischaemic\/reperfusion injury to the cord following surgical decompression and restoration of blood flow through the anterior spinal artery and we make suggestions for management of such clinical events.<\/jats:p>","DOI":"10.1136\/bcr-2017-219863","type":"journal-article","created":{"date-parts":[[2017,10,9]],"date-time":"2017-10-09T13:11:07Z","timestamp":1507554667000},"page":"bcr-2017-219863","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":4,"title":["Delayed spinal cord infarction following anterior cervical surgical decompression"],"prefix":"10.1136","volume":"2017","author":[{"given":"Muhammad Faheem","family":"Khan","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rashid","family":"Jooma","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fauzan Alam","family":"Hashmi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Muhammad Faraz","family":"Raghib","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2017,10,9]]},"reference":[{"key":"2025042712490918000_2017.oct07_1.bcr-2017-219863.1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.1973.03230030022005"},{"key":"2025042712490918000_2017.oct07_1.bcr-2017-219863.2","doi-asserted-by":"crossref","first-page":"198","DOI":"10.1016\/S0090-3019(00)00236-6","article-title":"Cervical disc herniation presenting with acute myelopathy","volume":"54","author":"Joanes","year":"2000","journal-title":"Surg Neurol"},{"key":"2025042712490918000_2017.oct07_1.bcr-2017-219863.3","doi-asserted-by":"crossref","first-page":"E125","DOI":"10.1097\/01.BRS.0000050404.11654.9F","article-title":"Nontraumatic acute complete paraplegia resulting from cervical disc herniation: a case report","volume":"28","author":"Suzuki","year":"2003","journal-title":"Spine"},{"key":"2025042712490918000_2017.oct07_1.bcr-2017-219863.4","first-page":"235","article-title":"Non-traumatic acute paraplegia caused by cervical disc herniation in a patient with sleep apnoea","volume":"45","author":"Goh","year":"2004","journal-title":"Singapore Med J"},{"key":"2025042712490918000_2017.oct07_1.bcr-2017-219863.5","doi-asserted-by":"crossref","first-page":"356","DOI":"10.1017\/S0317167100004273","article-title":"Sudden quadriplegia after acute cervical disc herniation","volume":"32","author":"Sadanand","year":"2005","journal-title":"Can J Neurol Sci"},{"key":"2025042712490918000_2017.oct07_1.bcr-2017-219863.6","doi-asserted-by":"crossref","first-page":"694","DOI":"10.1007\/s00586-004-0841-y","article-title":"Non-traumatic acute myelopathy due to cervical disc herniation in contiguous two-level disc spaces: a case report","volume":"14","author":"Song","year":"2005","journal-title":"Eur Spine J"},{"key":"2025042712490918000_2017.oct07_1.bcr-2017-219863.7","doi-asserted-by":"crossref","first-page":"97","DOI":"10.3233\/BMR-2006-192-309","article-title":"Nontraumatic acute myelopathy associated with cervical disc herniation during labor","volume":"19","author":"Tsai","year":"2006","journal-title":"J Back Musculoskelet Rehabil"},{"key":"2025042712490918000_2017.oct07_1.bcr-2017-219863.8","doi-asserted-by":"crossref","first-page":"267","DOI":"10.1007\/s12570-013-0182-6","article-title":"Acute nontraumatic cervical disk herniation with incomplete tetraplegia. 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