{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,21]],"date-time":"2025-11-21T07:34:50Z","timestamp":1763710490589,"version":"3.45.0"},"reference-count":7,"publisher":"Scientific Scholar","content-domain":{"domain":["surgicalneurologyint.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"\n Background:<\/jats:title>\n Slack or kinking of the spinal cord due to compression lesions is rare.<\/jats:p>\n <\/jats:sec>\n \n Case Description:<\/jats:title>\n A 73-year-old woman sustained a vertebral compression fracture at L1 following a fall. Progressive vertebral collapse caused upward displacement of the conus medullaris and slackening of the spinal cord, leading to bilateral thigh pain and myelopathic symptoms. Decompression and fixation surgery were performed. Due to osteoporosis, screws were inserted through the endplates and augmented with bone cement to prevent implant failure. Postoperatively, the patient\u2019s symptoms resolved, and her neurological function improved.<\/jats:p>\n <\/jats:sec>\n \n Conclusion:<\/jats:title>\n When the spinal cord becomes slack due to compression at the thoracolumbar junction, symptoms of both cauda equina tension and myelopathy may develop. Surgical decompression and fixation can restore the spinal cord morphology and improve neurological function.<\/jats:p>\n <\/jats:sec>","DOI":"10.25259\/sni_1110_2025","type":"journal-article","created":{"date-parts":[[2025,11,21]],"date-time":"2025-11-21T07:29:52Z","timestamp":1763710192000},"page":"492","update-policy":"https:\/\/doi.org\/10.25259\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["A case of slack spinal cord secondary to lumbar vertebral 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with ossification of the ligamentum flavum: A case report","volume":"39","author":"Miyazaki","year":"2014","journal-title":"Spine (Phila Pa 1976)"},{"key":"10.25259\/SNI_1110_2025\/ref-5","first-page":"821","article-title":"Two cases of slack spinal cord caused by compressive lesions at the thoracolumbar junction","volume":"69","author":"Nakamura","year":"2020","journal-title":"Seikeigeka Saigai Geka"},{"key":"10.25259\/SNI_1110_2025\/ref-6","doi-asserted-by":"crossref","first-page":"2595","DOI":"10.4103\/0366-6999.166042","article-title":"Spinal cord kinking in thoracic myelopathy caused by ossification of the ligamentum flavum","volume":"128","author":"Wang","year":"2015","journal-title":"Chin Med J (Engl)"},{"key":"10.25259\/SNI_1110_2025\/ref-7","doi-asserted-by":"crossref","first-page":"e825","DOI":"10.1016\/j.wneu.2013.09.024","article-title":"Clinical significance of postoperative changes in redundant nerve roots after decompressive laminectomy for lumbar spinal canal stenosis","volume":"82","author":"Yokoyama","year":"2014","journal-title":"World Neurosurg"}],"container-title":["Surgical Neurology 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