{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,3]],"date-time":"2026-04-03T20:38:50Z","timestamp":1775248730205,"version":"3.50.1"},"reference-count":4,"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>Patients with lumbar disc herniation at a level with significant stenosis due to ossification of the yellow ligament (OYL) may rarely present with rapid neurological deterioration warranting emergent surgery.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"st2\">\n<jats:title>Case Description: <\/jats:title>\n<jats:p>A 40-year-old female developed an acute cauda equina syndrome (CES) attributed to an acute lumbar disc herniation and to marked canal stenosis due to OYL. As the patient underwent a 9 h delayed removal of the ossified ligament and discectomy, she sustained only minimal recovery.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"st3\">\n<jats:title>Conclusion: <\/jats:title>\n<jats:p>Patients diagnosed with acute lumbar disc herniation and severe stenosis due to OYL who present with acute CES warrant emergent surgical decompression to avoid permanent postoperative neurological sequelae.<\/jats:p>\n<\/jats:sec>","DOI":"10.25259\/sni_319_2021","type":"journal-article","created":{"date-parts":[[2022,1,26]],"date-time":"2022-01-26T07:53:14Z","timestamp":1643183594000},"page":"202","update-policy":"https:\/\/doi.org\/10.25259\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Cauda equina syndrome due to lumbar disc herniation and ossification of the yellow ligament"],"prefix":"10.25259","volume":"12","author":[{"given":"Masatoshi","family":"Yunoki","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michiari","family":"Umakoshi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Masaki","family":"Tatano","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ryoji","family":"Imoto","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"10894","published-online":{"date-parts":[[2021,5,3]]},"reference":[{"key":"10.25259\/SNI_319_2021\/ref-1","doi-asserted-by":"crossref","first-page":"1515","DOI":"10.1097\/00007632-200006150-00010","article-title":"Cauda equina syndrome secondary to lumbar disc herniation: A meta-analysis of surgical outcomes","volume":"25","author":"Ahn","year":"2000","journal-title":"Spine (Phila Pa 1976)"},{"key":"10.25259\/SNI_319_2021\/ref-2","doi-asserted-by":"crossref","first-page":"250","DOI":"10.1097\/00002517-199912000-00002","article-title":"Ossification of the yellow ligament and spondylosis and\/or ossification of the posterior longitudinal ligament of the thoracic and lumbar spine","volume":"12","author":"Epstein","year":"1999","journal-title":"J Spinal Disord"},{"key":"10.25259\/SNI_319_2021\/ref-3","doi-asserted-by":"crossref","first-page":"317","DOI":"10.1007\/s005860050180","article-title":"Predictors of outcome in cauda equina syndrome","volume":"8","author":"Kennedy","year":"1999","journal-title":"Eur Spine J"},{"key":"10.25259\/SNI_319_2021\/ref-4","doi-asserted-by":"crossref","first-page":"385","DOI":"10.5035\/nishiseisai.41.385","article-title":"Two cases of thoracic herniation associated with ossification of the yellow ligament","volume":"41","author":"Yara","year":"1992","journal-title":"Orthop Traumatol"}],"container-title":["Surgical Neurology International"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/surgicalneurologyint.com\/cauda-equina-syndrome-due-to-lumbar-disc-herniation-and-ossification-of-the-yellow-ligament","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/surgicalneurologyint.com\/surgicalint-articles\/cauda-equina-syndrome-due-to-lumbar-disc-herniation-and-ossification-of-the-yellow-ligament","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,1,26]],"date-time":"2022-01-26T07:53:18Z","timestamp":1643183598000},"score":1,"resource":{"primary":{"URL":"http:\/\/surgicalneurologyint.com\/surgicalint-articles\/cauda-equina-syndrome-due-to-lumbar-disc-herniation-and-ossification-of-the-yellow-ligament"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,5,3]]},"references-count":4,"alternative-id":["10.25259\/SNI_319_2021"],"URL":"https:\/\/doi.org\/10.25259\/sni_319_2021","relation":{},"ISSN":["2152-7806"],"issn-type":[{"value":"2152-7806","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,5,3]]},"article-number":"202"}}