{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T14:43:15Z","timestamp":1787755395210,"version":"build-2784847793"},"reference-count":17,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:sec>\n                    <jats:title>Case:<\/jats:title>\n                    <jats:p>We report a 14-year-old girl with adolescent idiopathic scoliosis who experienced bilateral lower extremity paralysis related to postoperative hypotension 10 hours after posterior spinal fusion. She returned to the operating room for spinal cord decompression and hardware removal. Six weeks later, reinstrumentation was performed, and complete neurologic recovery was achieved.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Delayed presentation of neurologic injury after scoliosis surgery is particularly uncommon. Close postoperative monitoring, with an emphasis on hypotensive etiologies and a low threshold to remove the instrumentation, is essential to rapidly diagnose and treat these catastrophic events.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2106\/jbjs.cc.21.00497","type":"journal-article","created":{"date-parts":[[2022,1,26]],"date-time":"2022-01-26T14:02:44Z","timestamp":1643205764000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":4,"title":["Delayed Postoperative Spinal Cord Injury with Complete Paralysis After Adolescent Idiopathic Surgery"],"prefix":"10.2106","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5375-9868","authenticated-orcid":false,"given":"Cameron","family":"Kia","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery, University of Connecticut, Farmington, Connecticut"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0218-1111","authenticated-orcid":false,"given":"John W.","family":"Stelzer","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, University of Connecticut, Farmington, Connecticut"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8232-0136","authenticated-orcid":false,"given":"Mark C.","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Connecticut Children\u2019s Medical Center, Hartford, Connecticut"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2022,1]]},"reference":[{"key":"bib1-20240805","doi-asserted-by":"crossref","first-page":"173","DOI":"10.2106\/00004623-197860020-00005","article-title":"Incidence and natural history. 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A report of the Scoliosis Research Society","volume":"57","author":"MacEwen","year":"1975","journal-title":"J Bone Joint Surg Am."},{"key":"bib10-20240805","doi-asserted-by":"crossref","first-page":"798","DOI":"10.1097\/BPO.0000000000000386","article-title":"A new classification system to report complications in growing spine surgery: a multicenter consensus study","volume":"35","author":"Smith","year":"2015","journal-title":"J Pediatr Orthop."},{"key":"bib11-20240805","doi-asserted-by":"crossref","first-page":"1178","DOI":"10.2106\/00004623-198466080-00005","article-title":"Postoperative neurological deficits in segmental spinal instrumentation. 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