{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T14:42:46Z","timestamp":1787755366875,"version":"build-2784847793"},"reference-count":8,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JBJS Case Connector"],"abstract":"<jats:sec>\n                    <jats:title>Case:<\/jats:title>\n                    <jats:p>This is a report of severe superior mesenteric artery (SMA) syndrome in an 11-year-old girl with congenital scoliosis following posterior spinal fusion and segmental spinal instrumentation. This was complicated by gastric mucosal necrosis but resolved satisfactory with prolonged nasogastric suction, intravenous fluids, and total parental nutrition.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>All pediatric spine surgeons should be aware of SMA syndrome following spine surgery. This case demonstrates that although rare, significant complications such as gastric mucosal necrosis can occur. When present, it can be treated successfully with prolonged conservative management. Comanagement with pediatric gastroenterology and pediatric general surgery is recommended.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2106\/jbjs.cc.18.00380","type":"journal-article","created":{"date-parts":[[2019,9,20]],"date-time":"2019-09-20T05:09:49Z","timestamp":1568956189000},"page":"e0380-e0380","source":"Crossref","is-referenced-by-count":7,"title":["Superior Mesenteric Artery Syndrome Complicated by Gastric Mucosal Necrosis Following Congenital Scoliosis Surgery"],"prefix":"10.2106","volume":"9","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5616-3333","authenticated-orcid":false,"given":"Kathleen","family":"Moyer","sequence":"first","affiliation":[{"name":"Department of Pediatrics, Division of Pediatric Gastroenterology, Children's Hospital of Richmond at Virginia Commonwealth University, Richmond, Virginia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2016-6441","authenticated-orcid":false,"given":"George H.","family":"Thompson","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Division of Pediatric Orthopaedic Surgery, Cleveland Medical Center University Hospitals, Rainbow Babies & Children's Hospital, Cleveland, Ohio"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8759-7484","authenticated-orcid":false,"given":"Constance","family":"Poe-Kochert","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Division of Pediatric Orthopaedic Surgery, Cleveland Medical Center University Hospitals, Rainbow Babies & Children's Hospital, Cleveland, Ohio"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9294-1160","authenticated-orcid":false,"given":"Judy","family":"Splawski","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Division of Pediatric Gastroenterology, Hepatology, and Nutrition, Cleveland Medical Center University Hospitals, Rainbow Babies & Children's Hospital, Cleveland, Ohio"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2019]]},"reference":[{"issue":"21","key":"bib1-20230712","doi-asserted-by":"crossref","first-page":"3307","DOI":"10.3748\/wjg.v11.i21.3307","article-title":"Superior mesenteric artery syndrome following scoliosis surgery: its risk indicators and treatment strategy","volume":"11","author":"Ze-Zhang","year":"2005","journal-title":"World J Gastroenterol."},{"issue":"2","key":"bib2-20230712","first-page":"E124","article-title":"Superior mesenteric artery syndrome as a complication of scoliosis surgery","volume":"46","author":"Louie","year":"2017","journal-title":"Am J Orthop."},{"issue":"4","key":"bib3-20230712","doi-asserted-by":"crossref","first-page":"312","DOI":"10.1097\/BPB.0000000000000050","article-title":"Superior mesenteric artery syndrome following surgery for adolescent idiopathic scoliosis: a case series, review of the literature, and an algorithm for management","volume":"23","author":"Lam","year":"2014","journal-title":"J Pediatr Orthop."},{"issue":"10","key":"bib4-20230712","first-page":"2252","article-title":"Superior mesenteric artery syndrome following spinal deformity correction","volume":"88","author":"Braun","year":"2006","journal-title":"J Bone Joint Surg Am"},{"issue":"3","key":"bib5-20230712","first-page":"155","article-title":"Superior mesenteric artery syndrome","volume":"23","author":"Bernotavi\u010dius","year":"2016","journal-title":"Acta Med Litu."},{"issue":"2","key":"bib6-20230712","first-page":"30","article-title":"Duodenal emphysema complicated with superior mesenteric artery syndrome in a patient with cerebral paralysis: a case report","volume":"40","author":"Ichikawa","year":"2015","journal-title":"Tokai J Exp Clin Med."},{"issue":"10","key":"bib7-20230712","doi-asserted-by":"crossref","first-page":"257","DOI":"10.1007\/s00586-016-4562-9","article-title":"Temporary liver and stomach necrosis after lateral approach for interbody fusion and deformity correction of lumbar spine: report of two cases and review of the literature","volume":"25","author":"Vasiliadis","year":"2016","journal-title":"Eur Spine J."},{"issue":"1","key":"bib8-20230712","doi-asserted-by":"crossref","first-page":"38","DOI":"10.1097\/MPG.0b013e3182a7dac4","article-title":"Effects of surgical correction of neuromuscular scoliosis on gastric myoelectrical activity, emptying, and upper gastrointestinal symptoms","volume":"58","author":"Jalanko","year":"2014","journal-title":"J Pediatr Gastroenterol Nutr."}],"container-title":["JBJS Case Connector"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.2106\/JBJS.CC.18.00380","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T13:42:01Z","timestamp":1787751721000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.2106\/JBJS.CC.18.00380"}},"subtitle":["A Case Report"],"short-title":[],"issued":{"date-parts":[[2019]]},"references-count":8,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2019]]}},"URL":"https:\/\/doi.org\/10.2106\/jbjs.cc.18.00380","relation":{},"ISSN":["2160-3251"],"issn-type":[{"value":"2160-3251","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019]]}}}