{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T14:40:06Z","timestamp":1787755206401,"version":"build-2784847793"},"reference-count":14,"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>A 75-year-old woman with remote history of T10-S1 spinal fusion with pelvic fixation presented with radicular back pain and numbness in the right lower extremity. Imaging showed bilateral rod fractures at L4-5 and a dorsal spinal epidural hematoma (SEH) with associated severe canal narrowing and cauda equina compression. The patient underwent bilateral L4-5 laminectomies, hematoma evacuation, reinforcement of multilevel nonunion, and implant replacement. Her symptoms resolved after the procedure.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>SEH is a rare complication that may occur secondary to failed spinal fusion and must be considered in the differential diagnosis of new or progressive neurological symptoms.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2106\/jbjs.cc.21.00745","type":"journal-article","created":{"date-parts":[[2022,2,10]],"date-time":"2022-02-10T11:02:03Z","timestamp":1644490923000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Spinal Epidural Hematoma Producing Neural Compression After Bilateral Rod Fractures in Failed Long-Construct Fusion"],"prefix":"10.2106","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3651-2361","authenticated-orcid":false,"given":"Amy L.","family":"Xu","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery, Johns Hopkins Hospital, Baltimore, Maryland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kevin C.","family":"Mo","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Johns Hopkins Hospital, Baltimore, Maryland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jacob M.","family":"Babu","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Johns Hopkins Hospital, Baltimore, Maryland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brian J.","family":"Neuman","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Johns Hopkins Hospital, Baltimore, Maryland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2022,1]]},"reference":[{"issue":"1 pt 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