{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,4]],"date-time":"2026-10-04T03:03:32Z","timestamp":1791083012357,"version":"4.1.0"},"reference-count":22,"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 36-year-old woman with intravenous drug use presented with back pain, paraplegia, and urinary incontinence. MRI revealed a ventral cervical spinal epidural abscess from C5 to T1 with cord signal changes. CT angiography showed a large saddle pulmonary embolism with right heart strain. Multidisciplinary management included initiation of venoarterial extracorporeal membrane oxygenation (VA-ECMO) without anticoagulation, followed by urgent C6 corpectomy and C5 to T1 anterior decompression and fusion. Anticoagulation and thrombectomy were performed postoperatively.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>This rare case demonstrates that VA-ECMO can safely permit urgent spinal decompression in patients with concurrent submassive pulmonary embolism, optimizing both neurologic and cardiopulmonary outcomes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2106\/jbjs.cc.25.00576","type":"journal-article","created":{"date-parts":[[2026,2,26]],"date-time":"2026-02-26T19:00:39Z","timestamp":1772132439000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":1,"title":["Spinal Epidural Abscess Complicated by Saddle Pulmonary 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