{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T06:36:23Z","timestamp":1777876583291,"version":"3.51.4"},"reference-count":14,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2025,5,2]],"date-time":"2025-05-02T00:00:00Z","timestamp":1746144000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Neonatal-Perinatal Medicine"],"published-print":{"date-parts":[[2025,7]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Neonatal spinal cord injury is a rare complication of birth trauma which is typically reported after breech delivery and forceps delivery. Therefore, it is extremely difficult to recognize the occurrence of injury after vacuum-assisted delivery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods\/Results<\/jats:title>\n                    <jats:p>We report the case of a neonate with an upper cervical spinal cord injury that occurred during vacuum-assisted delivery accompanied by uterine fundal pressure. During delivery, the cardiotocogram showed persistent fetal bradycardia and a loss of baseline variability. The neonate was initially diagnosed with hypoxic-ischemic encephalopathy (HIE) and underwent therapeutic hypothermia therapy. However, after therapeutic hypothermia, upper cervical spinal cord injury and HIE were detected on head and cervical magnetic resonance imaging (MRI).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>When a neonate born by vacuum-assisted delivery accompanied by uterine fundal pressure presents asphyxia, cervical MRI should be promptly considered to differentiate upper cervical spinal cord injury.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/19345798251339661","type":"journal-article","created":{"date-parts":[[2025,5,2]],"date-time":"2025-05-02T11:35:44Z","timestamp":1746185744000},"page":"386-389","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["A neonate with upper cervical spinal cord injury as a previously unrecognized complication of vacuum-assisted delivery and uterine fundal pressure"],"prefix":"10.1177","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0009-0008-1583-0839","authenticated-orcid":false,"given":"S","family":"Watanabe","sequence":"first","affiliation":[{"name":"Department of Pediatrics, School of Medicine, University of Occupational and Environmental Health, Kitakyushu, Japan"},{"name":"General Perinatal Medical Center, Hospital of University of Occupational and Environmental Health, Kitakyushu, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"N","family":"Ohama","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, School of Medicine, University of Occupational and Environmental Health, Kitakyushu, Japan"},{"name":"General Perinatal Medical Center, Hospital of University of Occupational and Environmental Health, Kitakyushu, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S","family":"Suga","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, School of Medicine, University of Occupational and Environmental Health, Kitakyushu, Japan"},{"name":"General Perinatal Medical Center, Hospital of University of Occupational and Environmental Health, Kitakyushu, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"E","family":"Kondo","sequence":"additional","affiliation":[{"name":"General Perinatal Medical Center, Hospital of University of Occupational and Environmental Health, Kitakyushu, Japan"},{"name":"Department of Obstetrics and Gynecology, School of Medicine, University of Occupational and Environmental Health, Kitakyushu, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"T","family":"Hoshina","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, School of Medicine, University of Occupational and Environmental Health, Kitakyushu, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"K","family":"Yoshino","sequence":"additional","affiliation":[{"name":"General Perinatal Medical Center, Hospital of University of Occupational and Environmental Health, Kitakyushu, Japan"},{"name":"Department of Obstetrics and Gynecology, School of Medicine, University of Occupational and Environmental Health, Kitakyushu, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2025,5,2]]},"reference":[{"key":"e_1_3_5_2_2","doi-asserted-by":"publisher","DOI":"10.1136\/adc.69.1_Spec_No.92"},{"key":"e_1_3_5_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-3476(05)83437-7"},{"key":"e_1_3_5_4_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00381-007-0437-z"},{"key":"e_1_3_5_5_2","doi-asserted-by":"publisher","DOI":"10.3389\/fped.2020.00514"},{"key":"e_1_3_5_6_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMcps050929"},{"key":"e_1_3_5_7_2","doi-asserted-by":"publisher","DOI":"10.1111\/aogs.14568"},{"key":"e_1_3_5_8_2","doi-asserted-by":"publisher","DOI":"10.1515\/jpm-2015-0101"},{"key":"e_1_3_5_9_2","doi-asserted-by":"publisher","DOI":"10.1111\/jog.12284"},{"key":"e_1_3_5_10_2","first-page":"813","volume-title":"Neurology of the newborn","author":"Volpe JJ","year":"2001","unstructured":"Volpe JJ. Injuries of extracranial, cranial, intracranial, spinal cord, and peripheral nervous system structures. In: Neurology of the newborn. 4th ed Philadelphia: WB Saunders, 2001, pp. 813\u2013838.","edition":"4"},{"key":"e_1_3_5_11_2","doi-asserted-by":"publisher","DOI":"10.1001\/archsurg.138.10.1127"},{"key":"e_1_3_5_12_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0735-1097(87)80158-4"},{"key":"e_1_3_5_13_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1651-2227.2008.00768.x"},{"key":"e_1_3_5_14_2","volume-title":"StatPearls [Internet]","year":"2023","unstructured":"Neurogenic shock. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing, 2023; 2024 Jan."},{"key":"e_1_3_5_15_2","first-page":"CD001046","article-title":"Steroids for acute spinal cord injury","volume":"1","author":"Bracken MB","year":"2012","unstructured":"Bracken MB. Steroids for acute spinal cord injury. 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