{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T14:46:32Z","timestamp":1787755592108,"version":"build-2784847793"},"reference-count":14,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"abstract":"<jats:sec>\n                    <jats:title>Case:<\/jats:title>\n                    <jats:p>A 48-year-old woman underwent anterior cervical discectomy and fusion at C5\/6. Extubation was performed immediately after surgery. Tachycardia, limb tremor, and panic attack developed approximately 4 hours after surgery at 16:15. Thirty minutes later, cessation of respiration occurred at 16:50. An experienced anesthesiologist attempted intubation but was unsuccessful because of laryngopharyngeal edema at the C2 level. Finally, an otolaryngologist performed tracheotomy and secured the airway at 17:20 but hypoxic encephalopathy ensued.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Predicting the airway obstruction caused by laryngopharyngeal edema was very difficult; hence, to prevent critical complications, systematic perioperative management is essential in anterior cervical spine surgery.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2106\/jbjs.cc.20.00236","type":"journal-article","created":{"date-parts":[[2020,9,1]],"date-time":"2020-09-01T15:55:57Z","timestamp":1598975757000},"page":"e20.00236-e20.00236","source":"Crossref","is-referenced-by-count":4,"title":["A Detailed Clinical Course Leading to Hypoxic Ischemic Encephalopathy After Anterior Cervical Spine Surgery"],"prefix":"10.2106","volume":"10","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0995-683X","authenticated-orcid":false,"given":"Tomiya","family":"Matsumoto","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery, Osaka Rosai Hospital, Osaka, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5559-5924","authenticated-orcid":false,"given":"Tomoya","family":"Yamashita","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Osaka National Hospital, Osaka, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7989-905X","authenticated-orcid":false,"given":"Shinya","family":"Okuda","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Osaka Rosai Hospital, Osaka, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Takafumi","family":"Maeno","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Ishikiri Seiki Hospital, Osaka, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yukitaka","family":"Nagamoto","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Osaka Rosai Hospital, Osaka, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Motoki","family":"Iwasaki","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Osaka Rosai Hospital, Osaka, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2020]]},"reference":[{"issue":"18","key":"bib1-20230720","doi-asserted-by":"crossref","first-page":"E1058","DOI":"10.1097\/BRS.0000000000002236","article-title":"Airway management protocol after anterior cervical spine surgery: analysis of the results of risk factors associated with airway complication","volume":"42","author":"Kim","year":"2017","journal-title":"Spine (Phila Pa 1976)."},{"issue":"9","key":"bib2-20230720","doi-asserted-by":"crossref","first-page":"949","DOI":"10.1097\/00007632-200205010-00013","article-title":"Airway complications associated with surgery on the anterior cervical spine","volume":"27","author":"Sagi","year":"2002","journal-title":"Spine (Phila Pa 1976)."},{"issue":"1","key":"bib3-20230720","doi-asserted-by":"crossref","first-page":"66","DOI":"10.1016\/j.jclinane.2012.06.008","article-title":"Airway compromise due to laryngopharyngeal edema after anterior cervical spine surgery","volume":"25","author":"Palumbo","year":"2013","journal-title":"J Clin Anesth."},{"issue":"2 suppl","key":"bib4-20230720","first-page":"185","article-title":"Can airway complications following multilevel anterior cervical surgery be avoided?","volume":"94","author":"Epstein","year":"2001","journal-title":"J 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meta-analysis of randomised placebo controlled trials","volume":"337","author":"Fan","year":"2008","journal-title":"BMJ."},{"issue":"9567","key":"bib11-20230720","doi-asserted-by":"crossref","first-page":"1083","DOI":"10.1016\/S0140-6736(07)60526-1","article-title":"12-h pretreatment with methylprednisolone versus placebo for prevention of postextubation laryngeal oedema: a randomised double-blind trial","volume":"369","author":"Francois","year":"2007","journal-title":"Lancet."},{"issue":"2","key":"bib12-20230720","doi-asserted-by":"crossref","first-page":"255","DOI":"10.3171\/2019.1.SPINE181311","article-title":"Comparative analysis of anterior cervical discectomy and fusion in the inpatient versus outpatient surgical setting","volume":"31","author":"Patel","year":"2019","journal-title":"J Neurosurg Spine"},{"issue":"6","key":"bib13-20230720","doi-asserted-by":"crossref","first-page":"630","DOI":"10.3171\/2017.10.SPINE17938","article-title":"Retrospective single-surgeon study of 1123 consecutive cases of anterior cervical discectomy and fusion: a comparison of clinical outcome parameters, complication rates, and costs between outpatient and inpatient surgery groups, with a literature review","volume":"28","author":"Mullins","year":"2018","journal-title":"J Neurosurg Spine."},{"key":"bib14-20230720","doi-asserted-by":"crossref","first-page":"108","DOI":"10.2174\/1874325001206010108","article-title":"Airway compromise due to wound hematoma following anterior cervical spine surgery","volume":"6","author":"Palumbo","year":"2012","journal-title":"Open Orthop J."}],"container-title":["JBJS Case 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