{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T14:28:02Z","timestamp":1787754482527,"version":"build-2784847793"},"reference-count":14,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"4","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>A 58-year-old man underwent anterior cervical discectomy and fusion (ACDF) for the treatment of cervical spondylotic myelopathy. Immediately after surgery, the patient experienced elevated blood pressure with a fall in oxygen saturation which prevented extubation. He required admission to the critical care unit and was diagnosed with baroreflex failure syndrome (BFS). He was managed with a 4-drug medical regimen and stabilized by the second postoperative day.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>BFS should be considered in the setting of sudden sharp elevation in blood pressure after ACDF. Early diagnosis and initiation of appropriate pharmacotherapy may reduce patient morbidity and mortality.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2106\/jbjs.cc.21.00510","type":"journal-article","created":{"date-parts":[[2021,12,22]],"date-time":"2021-12-22T15:00:09Z","timestamp":1640185209000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Baroreflex Failure After Anterior Cervical Discectomy and Fusion"],"prefix":"10.2106","volume":"11","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0919-7108","authenticated-orcid":false,"given":"Arvind Gopalrao","family":"Kulkarni","sequence":"first","affiliation":[{"name":"Mumbai Spine Scoliosis and Disc Replacement Centre, Bombay Hospital & Medical Research Centre, Mumbai, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9222-245X","authenticated-orcid":false,"given":"Sharvari","family":"Gunjotikar","sequence":"additional","affiliation":[{"name":"Mumbai Spine Scoliosis and Disc Replacement Centre, Bombay Hospital & Medical Research Centre, Mumbai, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9008-4807","authenticated-orcid":false,"given":"Thonangi","family":"Yeshwanth","sequence":"additional","affiliation":[{"name":"Mumbai Spine Scoliosis and Disc Replacement Centre, Bombay Hospital & Medical Research Centre, Mumbai, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shahrukh","family":"Pathan","sequence":"additional","affiliation":[{"name":"Mumbai Spine Scoliosis and Disc Replacement Centre, Bombay Hospital & Medical Research Centre, Mumbai, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5388-9726","authenticated-orcid":false,"given":"Praveen","family":"Goparaju","sequence":"additional","affiliation":[{"name":"Mumbai Spine Scoliosis and Disc Replacement Centre, Bombay Hospital & Medical Research Centre, Mumbai, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7740-0748","authenticated-orcid":false,"given":"Nagesh","family":"Waghmare","sequence":"additional","affiliation":[{"name":"Bombay Hospital and Medical Research Centre, Mumbai, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gautam","family":"Bhansali","sequence":"additional","affiliation":[{"name":"Bombay Hospital and Medical Research Centre, Mumbai, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2021,10]]},"reference":[{"key":"bib1-20240805","doi-asserted-by":"crossref","first-page":"897","DOI":"10.1097\/01.brs.0000209348.17377.be","article-title":"Three-level anterior cervical discectomy and fusion with plate fixation: radiographic and clinical results","volume":"31","author":"Papadopoulos","year":"2006","journal-title":"Spine."},{"key":"bib2-20240805","doi-asserted-by":"crossref","first-page":"451","DOI":"10.1016\/S1529-9430(03)00173-6","article-title":"Comparison of allograft to autograft in multilevel anterior cervical discectomy and fusion with rigid plate fixation","volume":"3","author":"Samartzis","year":"2003","journal-title":"Spine J."},{"issue":"21","key":"bib3-20240805","doi-asserted-by":"crossref","first-page":"2310","DOI":"10.1097\/BRS.0b013e318154c57e","article-title":"Anterior cervical discectomy and fusion associated 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