{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,9]],"date-time":"2026-01-09T20:55:39Z","timestamp":1767992139603,"version":"3.49.0"},"reference-count":9,"publisher":"Scientific Scholar","content-domain":{"domain":["surgicalneurologyint.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"\nBackground: <\/jats:title>\nFollowing decompressive cervical surgery for significant spinal cord compression\/myelopathy, patients may rarely develop the \u201cWhite Cord Syndrome (WCS).\u201d This acute postoperative reperfusion injury is characterized on T2W MRI images by an increased intramedullary cord signal. However, it is a diagnosis of exclusion, and WCS can only be invoked once all other etiologies for cord injury have been ruled out.<\/jats:p>\n<\/jats:sec>\n\nCase Description: <\/jats:title>\nA 49-year-old male, 3 days following a C3-C7 cervical laminectomy and C2-T1 fusion for extensive cord compression due to ossification of the posterior longitudinal ligament (OPLL), developed acute quadriparesis. This new deficit should have been attributed to an intraoperative iatrogenic cord injury, not the WCS.<\/jats:p>\n<\/jats:sec>\n\nConclusion: <\/jats:title>\nVery rarely patients sustain postoperative significant\/severe new neurological deficits attributable to the WCS. Notably, the WCS is a diagnosis of exclusion, and all other etiologies (i.e. intraoperative iatrogenic surgeon-based mechanical cord injury, graft\/instrumentation extrusion, failure to adequately remove\/resect OPLL thus stretching cord over residual disease, other reasons for continued cord compression, including the need for secondary surgery, etc.) of cord injury must first be ruled out.<\/jats:p>\n<\/jats:sec>","DOI":"10.25259\/sni_268_2021","type":"journal-article","created":{"date-parts":[[2021,5,31]],"date-time":"2021-05-31T06:33:12Z","timestamp":1622442792000},"page":"244","update-policy":"https:\/\/doi.org\/10.25259\/crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Misdiagnosis of \u201cWhite Cord Syndrome\u201d following posterior cervical surgery for ossification of the posterior longitudinal ligament: A case report"],"prefix":"10.25259","volume":"12","author":[{"given":"Shankar","family":"Acharya","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Deepak","family":"Kaucha","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Arashpreet Singh","family":"Sandhu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nitin","family":"Adsul","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"R. S.","family":"Chahal","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"K. L.","family":"Kalra","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"10894","published-online":{"date-parts":[[2021,5,31]]},"reference":[{"key":"10.25259\/SNI_268_2021\/ref-1","doi-asserted-by":"crossref","first-page":"33","DOI":"10.1016\/j.wneu.2018.02.026","article-title":"White cord syndrome of acute hemiparesis after posterior cervical decompression and fusion for chronic cervical stenosis","volume":"113","author":"Antwi","year":"2018","journal-title":"World Neurosurg"},{"key":"10.25259\/SNI_268_2021\/ref-2","first-page":"697918","article-title":"White cord syndrome of acute tetraplegia after anterior cervical decompression and fusion for chronic spinal cord compression: A case report","volume":"2013","author":"Chin","year":"2013","journal-title":"Case Rep Orthop"},{"key":"10.25259\/SNI_268_2021\/ref-3","doi-asserted-by":"crossref","first-page":"320","DOI":"10.25259\/SNI_555_2020","article-title":"Reperfusion injury (RPI)\/white cord syndrome (WCS) due to cervical spine surgery: A diagnosis of exclusion","volume":"11","author":"Epstein","year":"2020","journal-title":"Surg Neurol Int"},{"key":"10.25259\/SNI_268_2021\/ref-4","doi-asserted-by":"crossref","first-page":"90","DOI":"10.3892\/etm.2020.9218","article-title":"White cord syndrome, a rare but disastrous complication of transient paralysis after posterior cervical decompression for severe cervical spondylotic myelopathy and spinal stenosis: A case report","volume":"20","author":"Liao","year":"2020","journal-title":"Exp Ther Med"},{"key":"10.25259\/SNI_268_2021\/ref-5","doi-asserted-by":"crossref","first-page":"194","DOI":"10.1016\/j.wneu.2020.01.062","article-title":"Reperfusion white cord syndrome in cervical spondylotic myelopathy: Does mean arterial pressure goal make a difference? Additional case and literature review","volume":"137","author":"Mathkour","year":"2020","journal-title":"World Neurosurg"},{"key":"10.25259\/SNI_268_2021\/ref-6","doi-asserted-by":"crossref","first-page":"28","DOI":"10.1038\/s41394-019-0174-z","article-title":"Late-onset white cord syndrome in an elderly patient after posterior cervical decompression and fusion: A case report","volume":"5","author":"Papaioannou","year":"2019","journal-title":"Spinal Cord Ser Cases"},{"key":"10.25259\/SNI_268_2021\/ref-7","doi-asserted-by":"crossref","first-page":"1478","DOI":"10.1097\/01.BRS.0000128757.32816.19","article-title":"Postoperative expansion of intramedullary high-intensity areas on T2-weighted magnetic resonance imaging after cervical laminoplasty","volume":"29","author":"Seichi","year":"2004","journal-title":"Spine (Phila Pa 1976)"},{"key":"10.25259\/SNI_268_2021\/ref-8","doi-asserted-by":"crossref","first-page":"136","DOI":"10.4103\/sni.sni_96_18","article-title":"White cord syndrome: A devastating complication of spinal decompression surgery","volume":"9","author":"Vinodh","year":"2018","journal-title":"Surg Neurol Int"},{"key":"10.25259\/SNI_268_2021\/ref-9","first-page":"e5279","article-title":"Spinal cord reperfusion injury: Case report, review of the literature, and future treatment strategies","volume":"11","author":"Wiginton","year":"2019","journal-title":"Cureus"}],"container-title":["Surgical Neurology International"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/surgicalneurologyint.com\/misdiagnosis-of-white-cord-syndrome-following-posterior-cervical-surgery-for-ossification-of-the-posterior-longitudinal-ligament-a-case-report\/","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/surgicalneurologyint.com\/surgicalint-articles\/misdiagnosis-of-white-cord-syndrome-following-posterior-cervical-surgery-for-ossification-of-the-posterior-longitudinal-ligament-a-case-report\/","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,5,31]],"date-time":"2021-05-31T06:33:17Z","timestamp":1622442797000},"score":1,"resource":{"primary":{"URL":"http:\/\/surgicalneurologyint.com\/surgicalint-articles\/misdiagnosis-of-white-cord-syndrome-following-posterior-cervical-surgery-for-ossification-of-the-posterior-longitudinal-ligament-a-case-report\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,5,31]]},"references-count":9,"alternative-id":["10.25259\/SNI_268_2021"],"URL":"https:\/\/doi.org\/10.25259\/sni_268_2021","relation":{},"ISSN":["2152-7806"],"issn-type":[{"value":"2152-7806","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,5,31]]},"article-number":"244"}}