{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T14:46:24Z","timestamp":1787755584794,"version":"build-2784847793"},"reference-count":22,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"abstract":"<jats:sec>\n                    <jats:title>Case:<\/jats:title>\n                    <jats:p>This report describes a case of prolonged neurologic deficit of primarily the nonoperative lower extremity in a patient with sickle cell disease (SCD) who received spinal anesthesia during revision total hip arthroplasty (THA). The patient initially showed bilateral lower extremity neurologic deficits localized to the L5\/S1 nerve root, with the eventual persistence of symptoms in the nonoperative extremity for &gt;1 year.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>This report describes an unusual complication after THA and spinal anesthesia. This case highlights the rare occurrence of nerve root injury after spinal anesthesia and emphasizes the importance of close perioperative monitoring in patients with SCD undergoing orthopaedic surgery.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2106\/jbjs.cc.19.00132","type":"journal-article","created":{"date-parts":[[2020,3,20]],"date-time":"2020-03-20T06:14:20Z","timestamp":1584684860000},"page":"e0132-e0132","source":"Crossref","is-referenced-by-count":1,"title":["Prolonged Weakness and Paresthesia After Revision Total Hip Arthroplasty in a Patient with Sickle Cell Anemia Receiving Spinal Anesthesia"],"prefix":"10.2106","volume":"10","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0586-4011","authenticated-orcid":false,"given":"Hunter B.","family":"Yancey","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery, Wake Forest Baptist Medical Center, Winston-Salem, North Carolina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2461-312X","authenticated-orcid":false,"given":"Maxwell K.","family":"Langfitt","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Wake Forest Baptist Medical Center, Winston-Salem, North Carolina"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2020]]},"reference":[{"key":"bib1-20230720","doi-asserted-by":"crossref","first-page":"897","DOI":"10.1016\/j.hoc.2005.07.004","article-title":"Surgery in sickle cell disease","volume":"19","author":"Buck","year":"2005","journal-title":"Hematol Oncol Clin North Am."},{"issue":"3","key":"bib2-20230720","doi-asserted-by":"crossref","first-page":"766","DOI":"10.1097\/00000542-200409000-00027","article-title":"Sickle cell disease and anesthesia","volume":"101","author":"Firth","year":"2004","journal-title":"Anesthesiology."},{"issue":"2","key":"bib3-20230720","doi-asserted-by":"crossref","first-page":"357","DOI":"10.1007\/s11999-015-4341-7","article-title":"Complications of total hip arthroplasty: Standardized list, definitions, and stratification developed by the Hip Society","volume":"474","author":"Healy","year":"2015","journal-title":"Clin Orthop Relat Res."},{"issue":"6","key":"bib4-20230720","doi-asserted-by":"crossref","first-page":"906","DOI":"10.1097\/00000542-199206000-00006","article-title":"Incidence and risk factors for side effects of spinal anesthesia","volume":"76","author":"Carpenter","year":"1992","journal-title":"Anesthesiology."},{"issue":"3","key":"bib5-20230720","doi-asserted-by":"crossref","first-page":"208","DOI":"10.5435\/00124635-200505000-00007","article-title":"Total hip arthroplasty in sickle cell hemoglobinopathies","volume":"13","author":"Jeong","year":"2005","journal-title":"J Am Acad Orthop Surg."},{"issue":"8","key":"bib6-20230720","doi-asserted-by":"crossref","first-page":"860","DOI":"10.1007\/s12630-017-0883-3","article-title":"Perioperative considerations for patients with sickle cell disease: a narrative review","volume":"64","author":"Khurmi","year":"2017","journal-title":"Can J Anaesth."},{"issue":"5","key":"bib7-20230720","doi-asserted-by":"crossref","first-page":"469","DOI":"10.4097\/kjae.2015.68.5.469","article-title":"Spinal versus general anesthesia for Cesarean section in patients with sickle cell anemia","volume":"68","author":"Bakri","year":"2015","journal-title":"Korean J Anesthesiol."},{"issue":"7","key":"bib8-20230720","first-page":"E101","article-title":"Comparison of outcomes of using spinal versus general anesthesia in total hip arthroplasty","volume":"36","author":"Maurer","year":"2007","journal-title":"Am J Orthop (Belle Mead NJ)."},{"issue":"10","key":"bib9-20230720","doi-asserted-by":"crossref","first-page":"3676","DOI":"10.1182\/blood.V86.10.3676.bloodjournal86103676","article-title":"Surgery and anesthesia in sickle cell disease. 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