{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T14:41:34Z","timestamp":1787755294404,"version":"build-2784847793"},"reference-count":12,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JBJS Case Connector"],"published-print":{"date-parts":[[2017,9]]},"abstract":"<jats:sec>\n                    <jats:title>Case:<\/jats:title>\n                    <jats:p>In a patient who underwent a thoracoscopic anterior release combined with a posterior spinal fusion for juvenile idiopathic scoliosis, unilateral loss of neuromonitoring signals was noted during the posterior instrumentation, and epidural pneumorrhachis was identified by intraoperative O-arm imaging. An immediate laminectomy and decompression of epidural fat and air were performed, resulting in return of the neuromonitoring signals. The patient had no clinical motor or neurological deficits postoperatively, and the posterior spinal fusion was completed successfully 3 days later.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Epidural pneumorrhachis is a possible complication of scoliosis surgery with pedicle screw fixation, which can result in the intraoperative loss of neuromonitoring signals; however, rapid identification and intervention can result in an excellent outcome.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2106\/jbjs.cc.16.00191","type":"journal-article","created":{"date-parts":[[2017,8,8]],"date-time":"2017-08-08T15:37:53Z","timestamp":1502206673000},"page":"e53-e53","source":"Crossref","is-referenced-by-count":3,"title":["Epidural Pneumorrhachis Causing Intraoperative Loss of Motor Potentials During Instrumented Fusion for Scoliosis"],"prefix":"10.2106","volume":"7","author":[{"given":"Suneel B.","family":"Bhat","sequence":"first","affiliation":[{"name":"Rothman Institute, Philadelphia, Pennsylvania"},{"name":"Department of Orthopaedic Surgery, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Steven","family":"Blumer","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Nemours\/Alfred I. duPont Hospital for Children, Wilmington, Delaware"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Suken A.","family":"Shah","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania"},{"name":"Department of Orthopaedics, Nemours\/Alfred I. duPont Hospital for Children, Wilmington, Delaware"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2017,8,10]]},"reference":[{"issue":"1","key":"bib1-20230712","doi-asserted-by":"crossref","first-page":"65","DOI":"10.3340\/jkns.2013.54.1.65","article-title":"Symptomatic epidural pneumorrhachis: a rare entity","volume":"54","author":"Kim","year":"2013","journal-title":"J Korean Neurosurg Soc."},{"issue":"2","key":"bib2-20230712","doi-asserted-by":"crossref","first-page":"153","DOI":"10.1016\/j.spinee.2010.12.010","article-title":"Traumatic pneumorrhachis: etiology, pathomechanism, diagnosis, and treatment","volume":"11","author":"Gelalis","year":"2011","journal-title":"Spine J."},{"issue":"Suppl 5","key":"bib3-20230712","doi-asserted-by":"crossref","first-page":"636","DOI":"10.1007\/s00586-006-0160-6","article-title":"Pathogenesis, diagnosis and management of pneumorrhachis","volume":"15","author":"Oertel","year":"2006","journal-title":"Eur Spine J."},{"issue":"3","key":"bib4-20230712","doi-asserted-by":"crossref","first-page":"292","DOI":"10.1046\/j.1365-2044.2003.306721.x","article-title":"Air in the epidural space leading to a neurological deficit","volume":"58","author":"Krishnam","year":"2003","journal-title":"Anaesthesia."},{"issue":"3","key":"bib5-20230712","doi-asserted-by":"crossref","first-page":"228","DOI":"10.1007\/BF02021543","article-title":"CT recognition of spinal epidural air after chest tube placement","volume":"25","author":"Schneider","year":"1995","journal-title":"Pediatr Radiol."},{"issue":"4","key":"bib6-20230712","doi-asserted-by":"crossref","first-page":"359","DOI":"10.3171\/spi.2006.5.4.359","article-title":"Symptomatic air trapped in the spine after lumbar epidural corticosteroid injection. 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