{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T14:45:30Z","timestamp":1787755530860,"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 Cases:<\/jats:title>\n Two cases of herpetic neuralgia after lumbar fusion are reported. Although in one case the diagnosis was evident and treatment promptly initiated, the second exhibited a less typical presentation of neuralgia predating the cutaneous rash leading to a misdiagnosis of persistent nerve root stenosis, with additional surgeries and a longer hospital stay.<\/jats:p>\n <\/jats:sec>\n \n Conclusion:<\/jats:title>\n The cases presented highlight why postoperative neuralgia should be approached carefully and systematically investigated. Although rare, postoperative neuralgia may occur as a consequence of postoperative herpes zoster infection. Failure to promptly diagnose this condition may lead to unnecessary surgery that has associated risks and morbidity.<\/jats:p>\n <\/jats:sec>","DOI":"10.2106\/jbjs.cc.20.00298","type":"journal-article","created":{"date-parts":[[2020,9,15]],"date-time":"2020-09-15T22:00:06Z","timestamp":1600207206000},"page":"e20.00298-e20.00298","source":"Crossref","is-referenced-by-count":2,"title":["Herpes Zoster\u2013Mediated Radiculitis After Lumbar Spine Surgery"],"prefix":"10.2106","volume":"10","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2738-8204","authenticated-orcid":false,"given":"Francisco","family":"Xar\u00e1-Leite","sequence":"first","affiliation":[{"name":"Spine Unit, Department of Orthopaedics, Centro Hospitalar Universit\u00e1rio do Porto, Porto, Portugal"},{"name":"Instituto de Ci\u00eancias Biom\u00e9dicas Abel Salazar (ICBAS), Porto, Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4716-9092","authenticated-orcid":false,"given":"Miguel","family":"Pinto Freitas","sequence":"additional","affiliation":[{"name":"Spine Unit, Department of Orthopaedics, Centro Hospitalar Universit\u00e1rio do Porto, Porto, Portugal"},{"name":"Department of Orthopaedics, Unidade Local de Sa\u00fade do Nordeste, Macedo de Cavaleiros, Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6903-348X","authenticated-orcid":false,"given":"Ricardo","family":"Rodrigues-Pinto","sequence":"additional","affiliation":[{"name":"Spine Unit, Department of Orthopaedics, Centro Hospitalar Universit\u00e1rio do Porto, Porto, Portugal"},{"name":"Instituto de Ci\u00eancias Biom\u00e9dicas Abel Salazar (ICBAS), Porto, Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2020]]},"reference":[{"issue":"4","key":"bib1-20230720","doi-asserted-by":"crossref","first-page":"119","DOI":"10.1542\/pir.30.4.119","article-title":"Herpes simplex","volume":"30","author":"Chayavichitsilp","year":"2009","journal-title":"Pediatr Rev."},{"key":"bib2-20230720","doi-asserted-by":"crossref","first-page":"g2911","DOI":"10.1136\/bmj.g2911","article-title":"Quantification of risk factors for herpes zoster: population based case-control study","volume":"348","author":"Forbes","year":"2014","journal-title":"BMJ."},{"issue":"4","key":"bib3-20230720","doi-asserted-by":"crossref","first-page":"503","DOI":"10.7326\/0003-4819-101-4-503","article-title":"Reactivation of type 2 herpes simplex virus by thoracolumbar neurosurgery","volume":"101","author":"Haverkos","year":"1984","journal-title":"Ann Intern 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Manage."},{"key":"bib10-20230720","first-page":"1","article-title":"Varicella-Zoster-mediated radiculitis reactivation following cervical spine surgery: case report and review of the literature","volume":"2013","author":"Drazin","year":"2013","journal-title":"Case Rep Infect Dis."},{"issue":"5","key":"bib11-20230720","doi-asserted-by":"crossref","first-page":"851","DOI":"10.36076\/ppj.2009\/12\/851","article-title":"Herpes zoster radiculopathy treated with fluoroscopically-guided selective nerve root injection","volume":"12","author":"Conliffe","year":"2009","journal-title":"Pain Physician."},{"issue":"3","key":"bib12-20230720","doi-asserted-by":"crossref","first-page":"852","DOI":"10.1016\/S0149-2918(03)80111-X","article-title":"The use of gabapentin for the treatment of postherpetic neuralgia","volume":"25","author":"Singh","year":"2003","journal-title":"Clin Ther."},{"issue":"6","key":"bib13-20230720","doi-asserted-by":"crossref","first-page":"327","DOI":"10.1016\/S0885-3924(97)00077-8","article-title":"The effects of pre-emptive treatment of postherpetic neuralgia with amitriptyline: a randomized, double-blind, placebo-controlled trial","volume":"13","author":"Bowsher","year":"1997","journal-title":"J Pain Symptom Manage."},{"issue":"2","key":"bib14-20230720","first-page":"196","article-title":"Herpes zoster: are selective nerve root injections the treatment or the cause?","volume":"13","author":"Makkar","year":"2010","journal-title":"Pain Physician."},{"issue":"3","key":"bib15-20230720","first-page":"CD005582","article-title":"Corticosteroids for preventing postherpetic neuralgia","author":"Han","year":"2013","journal-title":"Cochrane Database Syst Rev."}],"container-title":["JBJS Case 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