{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T14:45:25Z","timestamp":1787755525194,"version":"build-2784847793"},"reference-count":15,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"abstract":"\n Case:<\/jats:title>\n We present the case of an 11-year-old girl with spinal muscular atrophy (SMA) type III who suffered an intraoperative venous thromboembolism (VTE), leading to death during bilateral extremity contracture releases for deformity correction.<\/jats:p>\n <\/jats:sec>\n \n Conclusion:<\/jats:title>\n Given the increasing incidence of VTE in pediatric patients, further consideration should be given to broadening the patient population offerring preoperative deep vein thrombosis screening or thromboprophylaxis. Specifically, patients with previous trauma, neuromuscular disorders, and prolonged immobilization or contractures should receive special attention. In addition, SMA may cause hypercoagulability independent of its status as a neuromuscular disorder, and this link should be investigated further.<\/jats:p>\n <\/jats:sec>","DOI":"10.2106\/jbjs.cc.20.00087","type":"journal-article","created":{"date-parts":[[2020,7,29]],"date-time":"2020-07-29T11:03:12Z","timestamp":1596020592000},"page":"e20.00087-e20.00087","source":"Crossref","is-referenced-by-count":2,"title":["Intraoperative Pulmonary Embolism in an Adolescent Patient with Type III Spinal Muscular Atrophy"],"prefix":"10.2106","volume":"10","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4970-1687","authenticated-orcid":false,"given":"Carlton J.","family":"Fernandes","sequence":"first","affiliation":[{"name":"Department of Orthopedic Surgery, University of Oklahoma, Oklahoma City, Oklahoma"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2079-1554","authenticated-orcid":false,"given":"Conrad J.","family":"Fernandes","sequence":"additional","affiliation":[{"name":"Baylor College of Medicine, Houston, Texas"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3162-4487","authenticated-orcid":false,"given":"David Y.","family":"Chong","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, University of Oklahoma, Oklahoma City, Oklahoma"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2020]]},"reference":[{"issue":"1","key":"bib1-20230720","doi-asserted-by":"crossref","first-page":"101","DOI":"10.1097\/BPO.0000000000000391","article-title":"Incidence of deep vein thrombosis and pulmonary embolism in the elective pediatric orthopaedic patient","volume":"36","author":"Georgopoulos","year":"2016","journal-title":"J Pediatr 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fractures","volume":"32","author":"Greenwald","year":"2012","journal-title":"J Pediatr Orthop."},{"issue":"1","key":"bib11-20230720","doi-asserted-by":"crossref","first-page":"15","DOI":"10.1111\/joa.12083","article-title":"Spinal muscular atrophy: a motor neuron disorder or a multi-organ disease?","volume":"224","author":"Shababi","year":"2014","journal-title":"J Anat."},{"issue":"2","key":"bib12-20230720","doi-asserted-by":"crossref","first-page":"217","DOI":"10.1002\/ana.24549","article-title":"Vascular defects and spinal cord hypoxia in spinal muscular atrophy","volume":"79","author":"Somers","year":"2016","journal-title":"Ann Neurol."},{"issue":"6","key":"bib13-20230720","doi-asserted-by":"crossref","first-page":"E42","DOI":"10.1002\/mus.26457","article-title":"Resolution of skin necrosis after nusinersen treatment in an infant with spinal muscular atrophy","volume":"59","author":"Salmin","year":"2019","journal-title":"Muscle Nerve."},{"issue":"6","key":"bib14-20230720","doi-asserted-by":"crossref","first-page":"1278","DOI":"10.2214\/AJR.14.13869","article-title":"Pulmonary embolism in children","volume":"204","author":"Thacker","year":"2015","journal-title":"AJR Am J Roentgenol."},{"issue":"7","key":"bib15-20230720","doi-asserted-by":"crossref","first-page":"1073","DOI":"10.1182\/blood-2014-05-536060","article-title":"Manifestations and clinical impact of pediatric inherited thrombophilia","volume":"125","author":"Klaassen","year":"2015","journal-title":"Blood."}],"container-title":["JBJS Case 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