{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,13]],"date-time":"2026-09-13T09:05:20Z","timestamp":1789290320167,"version":"build-2803163510"},"reference-count":0,"publisher":"Indian Orthopaedic Research Group","issue":"8","content-domain":{"domain":["jocr.co.in"],"crossmark-restriction":true},"short-container-title":["Jocr"],"published-print":{"date-parts":[[2026]]},"abstract":"<jats:p>Introduction: Posterior cervical decompression and fusion (PCDF) is a well-established surgical procedure for the management of multilevel cervical spinal cord compression. Although generally safe, post-operative C5 palsy is a recognized complication that can significantly affect functional recovery.\n\nCase Report: We report the case of a patient with multilevel cervical compressive myelopathy who underwent PCDF. The immediate post-operative period was complicated by new-onset weakness of shoulder abduction and elbow flexion, consistent with C5 palsy. Post-operative imaging confirmed satisfactory decompression and appropriate implant positioning, with no evidence of hematoma or hardware-related complications. The patient was managed conservatively with close neurological monitoring and a structured rehabilitation program.\n\nDiscussion: The exact mechanism of post-operative C5 palsy remains unclear, with proposed causes including posterior shift of the spinal cord, nerve root traction, ischemia, and reperfusion injury. Early recognition, exclusion of compressive causes, and rehabilitation are essential for optimal recovery.\n\nConclusion: C5 palsy is an uncommon but important complication following PCDF. Prompt diagnosis, appropriate imaging, and multidisciplinary rehabilitation are crucial to maximizing neurological recovery and improving functional outcomes. Categories: Neurology, Neurosurgery, Orthopedics\n\nKeywords: C5 palsy, case report, cervical myelopathy, cervical spine surgery, cervical spondylotic myelopathy, posterior cervical decompression and fusion, posterior cervical fusion, post-operative neurological deficit, rehabilitation, spine surgery.<\/jats:p>","DOI":"10.13107\/jocr.2026.v16.i08.7884","type":"journal-article","created":{"date-parts":[[2026,8,8]],"date-time":"2026-08-08T10:05:46Z","timestamp":1786183546000},"page":"318-322","update-policy":"https:\/\/doi.org\/10.13107\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Post-operative C5 Palsy Following Posterior Cervical Decompression and Fusion: A Case Report"],"prefix":"10.13107","volume":"16","author":[{"given":"Mlsv","family":"Prasad","sequence":"first","affiliation":[{"name":"Department of Orthopaedics, JSS Academy of Higher Education and Research, Mysuru, Karnataka, India."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"V","family":"Sheshagiri","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, JSS Academy of Higher Education and Research, Mysuru, Karnataka, India."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"B","family":"Gurumurthy","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, JSS Academy of Higher Education and Research, Mysuru, Karnataka, India."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"N","family":"Darshan","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, JSS Academy of Higher Education and Research, Mysuru, Karnataka, India."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M Lakshmana","family":"Siva Reddy","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, JSS Academy of Higher Education and Research, Mysuru, Karnataka, India."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ala","family":"Akhil","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, JSS Academy of Higher Education and Research, Mysuru, Karnataka, India."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"5271","published-online":{"date-parts":[[2026]]},"container-title":["Journal of Orthopaedic Case Reports"],"original-title":[],"deposited":{"date-parts":[[2026,9,13]],"date-time":"2026-09-13T08:45:27Z","timestamp":1789289127000},"score":1,"resource":{"primary":{"URL":"https:\/\/jocr.co.in\/wp\/2026\/08\/post-operative-c5-palsy-following-posterior-cervical-decompression-and-fusion-a-case-report\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026]]},"references-count":0,"journal-issue":{"issue":"8","published-online":{"date-parts":[[2026]]},"published-print":{"date-parts":[[2026]]}},"URL":"https:\/\/doi.org\/10.13107\/jocr.2026.v16.i08.7884","relation":{},"ISSN":["2321-3817"],"issn-type":[{"value":"2321-3817","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026]]},"assertion":[{"value":"Research Article","name":"content_type","label":"Content Type"},{"value":"Yes","name":"crosschecked","label":"CrossChecked"},{"value":"Yes","name":"peer_reviewed","label":"Peer Reviewed"},{"value":"10.13107\/jocr.2026.v16.i08.7884","name":"published","label":"Published"},{"value":"Creative Commons Attribution","name":"license","label":"License","explanation":{"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},"group":{"name":"rights","label":"Rights"}}]}}