{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T14:41:59Z","timestamp":1787755319098,"version":"build-2784847793"},"reference-count":9,"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 female patient presented with acute perianal numbness, severe back pain, and bilateral radiculopathy. Magnetic resonance imaging revealed a large cystic lesion involving the L5\u2013S1 vertebrae with compression of the thecal sac. Given the erosion of the L5 pedicle and sacral involvement, navigation-guided tumor resection with L4\u2013S2 alar-iliac fixation and L4\u20135 transforaminal lumbar interbody fusion was performed. Intraoperative O-arm navigation ensured accurate resection and safe instrumentation despite distorted anatomy. Postoperatively, the patient had significant pain relief and neurological improvement at 1 year.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Navigation-assisted resection with spinopelvic fixation is a safe and effective approach in complex schwannomas with bony erosion, ensuring maximal decompression, accurate instrumentation, and durable stability.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2106\/jbjs.cc.25.00571","type":"journal-article","created":{"date-parts":[[2026,1,23]],"date-time":"2026-01-23T19:00:20Z","timestamp":1769194820000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Navigation-Guided Resection of a Cystic Schwannoma with Spinopelvic Fixation in Acute Cauda Equina Syndrome"],"prefix":"10.2106","volume":"16","author":[{"ORCID":"https:\/\/orcid.org\/0009-0004-0673-1282","authenticated-orcid":false,"given":"Ajay","family":"Kothari","sequence":"first","affiliation":[{"name":"Sancheti Institute for Orthopaedics & Rehabilitation, Pune, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5034-8783","authenticated-orcid":false,"given":"Siddharth","family":"Aiyer","sequence":"additional","affiliation":[{"name":"Sancheti Institute for Orthopaedics & Rehabilitation, Pune, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6855-8922","authenticated-orcid":false,"given":"Parth K.","family":"Shah","sequence":"additional","affiliation":[{"name":"Sancheti Institute for Orthopaedics & Rehabilitation, Pune, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8903-1430","authenticated-orcid":false,"given":"Parag","family":"Sancheti","sequence":"additional","affiliation":[{"name":"Sancheti Institute for Orthopaedics & Rehabilitation, Pune, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2026,1]]},"reference":[{"issue":"1","key":"bib1-20260123","doi-asserted-by":"crossref","first-page":"34","DOI":"10.1016\/S0090-3019(03)00537-8","article-title":"Spinal neurinomas: retrospective analysis and long-term outcome of 179 consecutively operated cases and review of the literature","volume":"61","author":"Conti","year":"2004","journal-title":"Surg Neurol."},{"issue":"6","key":"bib2-20260123","doi-asserted-by":"crossref","first-page":"587","DOI":"10.3171\/SPI-07\/12\/587","article-title":"Spinal dumbbell tumors: an analysis of a series of 118 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1976)."},{"issue":"1","key":"bib9-20260123","doi-asserted-by":"crossref","first-page":"34","DOI":"10.1016\/S0090-3019(03)00537-8","article-title":"Spinal neurinomas: long-term outcome after surgical treatment of 179 cases","volume":"61","author":"Conti","year":"2004","journal-title":"Surg Neurol."}],"container-title":["JBJS Case Connector"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.2106\/JBJS.CC.25.00571","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T13:41:02Z","timestamp":1787751662000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.2106\/JBJS.CC.25.00571"}},"subtitle":["A Case 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