{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T14:43:44Z","timestamp":1787755424477,"version":"build-2784847793"},"reference-count":24,"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 45-year-old man presented with posttraumatic fracture-dislocation of T11\/12 with neurological level T8 AIS A. Sensory level progressed to T4 in the next day morning. He underwent T10, T11, T12, and L1 percutaneous pedicle screw-rod fixation. Postoperatively, there was rapid worsening of his neurology and within 48 hours, he became tetraplegic with neurological level C2 with respiratory paralysis requiring mechanical ventilation. He died on the 14th postoperative day. Clinicoradiological findings were consistent with subacute posttraumatic ascending myelopathy (SPAM).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Surgeons must be vigilant in days and weeks after spinal cord injury for early recognition and management of SPAM. Treatment guidelines are uncertain and yet to be developed.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2106\/jbjs.cc.21.00822","type":"journal-article","created":{"date-parts":[[2022,2,16]],"date-time":"2022-02-16T14:01:11Z","timestamp":1645020071000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":2,"title":["Subacute Posttraumatic Ascending Myelopathy"],"prefix":"10.2106","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7979-8745","authenticated-orcid":false,"given":"Saumyajit","family":"Basu","sequence":"first","affiliation":[{"name":"Department of Spine Surgery, Kothari Medical Centre, Kolkata, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6462-3635","authenticated-orcid":false,"given":"Kushal","family":"Gohil","sequence":"additional","affiliation":[{"name":"Department of Spine Surgery, Kothari Medical Centre, Kolkata, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7324-7707","authenticated-orcid":false,"given":"Trinanjan","family":"Sarangi","sequence":"additional","affiliation":[{"name":"Kothari Medical Centre, Kolkata, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2022,1]]},"reference":[{"key":"bib1-20240805","doi-asserted-by":"crossref","first-page":"340","DOI":"10.1097\/00007632-200102150-00008","article-title":"The cause of neurologic deterioration after acute cervical spinal cord injury","volume":"26","author":"Harrop","year":"2001","journal-title":"Spine (Phila Pa 1976)."},{"key":"bib2-20240805","first-page":"111","article-title":"Ascending cord lesion in the early stages following spinal injury","volume":"7","author":"Frankel","year":"1969","journal-title":"Paraplegia."},{"key":"bib3-20240805","doi-asserted-by":"crossref","first-page":"570","DOI":"10.3171\/2010.4.SPINE1047","article-title":"Posttraumatic syringomyelia","volume":"14","author":"Fehlings","year":"2011","journal-title":"J Neurosurg Spine."},{"key":"bib4-20240805","doi-asserted-by":"crossref","first-page":"624","DOI":"10.3171\/jns.1997.86.4.0624","article-title":"Progressive posttraumatic myelomalacic myelopathy: treatment with untethering and expansive duraplasty","volume":"86","author":"Lee","year":"1997","journal-title":"J Neurosurg."},{"key":"bib5-20240805","doi-asserted-by":"crossref","first-page":"617","DOI":"10.1038\/sj.sc.3100872","article-title":"Ascending myelopathy in the early stage of spinal cord injury","volume":"37","author":"Aito","year":"1999","journal-title":"Spinal Cord."},{"issue":"2 suppl","key":"bib6-20240805","first-page":"294","article-title":"Subacute posttraumatic ascending myelopathy after spinal cord injury. 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