{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T14:40:09Z","timestamp":1787755209753,"version":"build-2784847793"},"reference-count":30,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"10","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"\n \n \n \u00bb Subacute posttraumatic ascending myelopathy (SPAM) is defined as neurological deterioration ascending four or more levels above the initial injury level and occurring within the initial days to weeks after spinal cord injury (SCI).<\/jats:p>\n <\/jats:list-item>\n \n \u00bb SPAM is a rare complication of spinal cord injury with an incidence of 0.42% to 1% affecting young to middle-aged male patients.<\/jats:p>\n <\/jats:list-item>\n \n \u00bb Several hypotheses have been put forth to explain SPAM, but the exact pathomechanism remains elusive.<\/jats:p>\n <\/jats:list-item>\n \n \u00bb Treatment guidelines for this rare entity are uncertain and still to be developed.<\/jats:p>\n <\/jats:list-item>\n \n \u00bb The current prognosis of SPAM is poor, with a mortality rate of 10.34%.<\/jats:p>\n <\/jats:list-item>\n <\/jats:list>\n <\/jats:p>","DOI":"10.2106\/jbjs.rvw.22.00097","type":"journal-article","created":{"date-parts":[[2022,10,7]],"date-time":"2022-10-07T14:11:55Z","timestamp":1665151915000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Subacute Posttraumatic Ascending Myelopathy After Thoracolumbar Spinal Cord Injury"],"prefix":"10.2106","volume":"10","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":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2022,10]]},"reference":[{"issue":"4","key":"r1-20240731","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)"},{"issue":"2","key":"r2-20240731","first-page":"111","article-title":"Ascending cord lesion in the early stages following spinal injury","volume":"7","author":"Frankel","year":"1969","journal-title":"Paraplegia"},{"issue":"5","key":"r3-20240731","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"},{"issue":"4","key":"r4-20240731","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"},{"issue":"9","key":"r5-20240731","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":"r6-20240731","first-page":"294","article-title":"Subacute posttraumatic ascending myelopathy after spinal cord injury. 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