{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,9,8]],"date-time":"2024-09-08T14:56:26Z","timestamp":1725807386376},"reference-count":10,"publisher":"Scientific Scholar","content-domain":{"domain":["surgicalneurologyint.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:sec id=\"st1\">\n<jats:title>Background: <\/jats:title>\n<jats:p>A Chance fracture is a traumatic fracture of the thoracic or lumbar spine that occurs secondary to a flexion-distraction injury. Although patients with chance fractures rarely present with neurologic deficits, a subset may become symptomatic from spinal epidural hematomas (SEH) warranting emergent decompressive surgery.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"st2\">\n<jats:title>Case Description: <\/jats:title>\n<jats:p>An 87-year-old female on anticoagulation presented with a T1 Chance fracture after a fall. She was originally neurologically intact, but became paraplegic over the next 10 h. When the cervical\/thoracic magnetic resonance revealed a SEH markedly compressing the cord between the C7-T1 levels, she underwent an emergent decompression; she also had a C5-T4 instrumented fusion. Postoperatively, she regained lower limb function, but expired on postoperative day 5 due to respiratory complications likely attributed to the prolonged surgery for the spinal instrumentation.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"st3\">\n<jats:title>Conclusion: <\/jats:title>\n<jats:p>Delayed SEH rarely occur following spinal Chance fractures. Here, an 87-year-old female on anticoagulation developed the 10-h delayed onset of a SEH with paraplegia attributed to a T1 Chance fracture at the C7-T1 level. Although she regained neurological function following the emergent decompression, she expired 5 days later likely due to the extended operative time\/blood loss from the C5-T4 fusion that could have been avoided.<\/jats:p>\n<\/jats:sec>","DOI":"10.25259\/sni_1046_2022","type":"journal-article","created":{"date-parts":[[2022,12,23]],"date-time":"2022-12-23T05:40:33Z","timestamp":1671774033000},"page":"593","update-policy":"http:\/\/dx.doi.org\/10.25259\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Delayed spinal epidural hematoma following T1 chance fracture: An illustrative case and review of the literature"],"prefix":"10.25259","volume":"13","author":[{"given":"Daniel Y.","family":"Chu","sequence":"first","affiliation":[{"name":"Department of Neurology, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin, United States."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Garret P.","family":"Greeneway","sequence":"additional","affiliation":[{"name":"Department of Neurological Surgery, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin, United States."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cody J.","family":"Falls","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Baylor University Medical Center, Houston, Texas, United States."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Paul S.","family":"Page","sequence":"additional","affiliation":[{"name":"Department of Neurological Surgery, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin, United States."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Azam S.","family":"Ahmed","sequence":"additional","affiliation":[{"name":"Department of Neurological Surgery, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin, United 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