{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T14:45:57Z","timestamp":1787755557400,"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>A 12-year-old boy with congenital scoliosis underwent posterior spinal fusion from C7 to T7 with a vertebral column resection (VCR) of T3 to T4. Postoperatively, he developed left-sided ptosis and miosis with an unremarkable MRI of the head, cervical, and thoracic spine. Apraclonidine testing confirmed Horner syndrome. The patient required no ophthalmologic intervention and demonstrated continued functional and symptom improvement at 6 months with stable spinal alignment.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>This case highlights Horner syndrome as a rare potential complication of VCRs without epidural analgesia, emphasizing the need for additional counseling to families on this potential postoperative outcome.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2106\/jbjs.cc.25.00550","type":"journal-article","created":{"date-parts":[[2026,2,19]],"date-time":"2026-02-19T19:00:51Z","timestamp":1771527651000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Horner Syndrome Following an Upper Thoracic Vertebral Column Resection for Congenital Scoliosis"],"prefix":"10.2106","volume":"16","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6973-078X","authenticated-orcid":false,"given":"Jeffrey","family":"Galla","sequence":"first","affiliation":[{"name":"Washington University School of Medicine, St. Louis, Missouri"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7956-050X","authenticated-orcid":false,"given":"Arnaldo","family":"Martinez Rivera","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Washington University School of Medicine, St. Louis, Missouri"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5820-1591","authenticated-orcid":false,"given":"Nuri","family":"Demirci","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Washington University School of Medicine, St. Louis, Missouri"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4711-4377","authenticated-orcid":false,"given":"Munish","family":"Gupta","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Washington University School of Medicine, St. Louis, Missouri"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2026,1]]},"reference":[{"issue":"4","key":"bib1-20260219","doi-asserted-by":"crossref","first-page":"1276","DOI":"10.1007\/s00415-020-10270-2","article-title":"Nationwide population-based incidence and etiologies of pediatric and adult horner syndrome","volume":"268","author":"Han","year":"2021","journal-title":"J Neurol."},{"issue":"3","key":"bib2-20260219","doi-asserted-by":"crossref","first-page":"362","DOI":"10.1097\/WNO.0000000000000844","article-title":"Causes of horner syndrome: a study of 318 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