{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T14:18:48Z","timestamp":1787753928673,"version":"build-2784847793"},"reference-count":26,"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 19-year-old male patient with a thoracolumbar spinal fracture, who developed a recurrent postoperative spinal epidural hematoma (SEH) resulting in a progressive neurological deficit, is presented here. Detailed laboratory tests confirmed hemophilia C. Through a combination of meticulous medical management and surgical evacuation of the hematoma, the bleeding was stopped, and the patient recovered neurologically.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>This case underscores the importance of considering rare bleeding disorders, such as hemophilia C, in the diagnosis of patients with recurrent SEH.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2106\/jbjs.cc.25.00206","type":"journal-article","created":{"date-parts":[[2025,10,3]],"date-time":"2025-10-03T18:00:29Z","timestamp":1759514429000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Postoperative Catastrophic Spinal Epidural Hematoma Due to Hemophilia C"],"prefix":"10.2106","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0009-0001-8248-6491","authenticated-orcid":false,"given":"Shamsundar","family":"Yalamanchili","sequence":"first","affiliation":[{"name":"Department of Orthopaedics and Spine Surgery, Ganga Hospital, CoimbatoreTamil Nadu. India,"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5817-4909","authenticated-orcid":false,"given":"Rishi M.","family":"Kanna","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics and Spine Surgery, Ganga Hospital, CoimbatoreTamil Nadu. India,"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5885-7152","authenticated-orcid":false,"given":"Ajoy P.","family":"Shetty","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics and Spine Surgery, Ganga Hospital, CoimbatoreTamil Nadu. India,"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6043-006X","authenticated-orcid":false,"given":"S.","family":"Rajasekaran","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics and Spine Surgery, Ganga Hospital, CoimbatoreTamil Nadu. India,"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2025,10]]},"reference":[{"issue":"3","key":"bib1-20251003","doi-asserted-by":"crossref","first-page":"334","DOI":"10.3171\/jns.1967.26.3.0334","article-title":"The syndrome of spontaneous spinal epidural hematoma. 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