{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2022,4,1]],"date-time":"2022-04-01T06:09:16Z","timestamp":1648793356317},"reference-count":28,"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>Cervical spinal cord injury (SCI) is a life-threatening condition. Prompt surgical intervention is needed to avoid hemodynamic and respiratory catastrophe. In Indonesia, however, spine surgery is more common in tertiary hospitals and thus might prolong the time gap to surgery due to referral waiting time.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"st2\">\n<jats:title>Case Description: <\/jats:title>\n<jats:p>We performed an emergency surgery for a patient with complete SCI due to unstable cervical fracture. The patient was in spinal shock and experienced respiratory arrest after radiological workup. Stability was achieved in the ICU and patient was directly sent to operating theater. Anterior-posterior approach was chosen to decompress and stabilize the cervical spine. The patient was discharged on postoperative day 17 and was seen well at 1-month follow-up.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"st3\">\n<jats:title>Conclusion: <\/jats:title>\n<jats:p>The capability to perform spine procedures should not be exclusive to tertiary hospitals in Indonesia. Satisfying results can be achieved with the presence of capable neurosurgeons or orthopedic surgeons and anesthesiologists in lower-level hospitals.<\/jats:p>\n<\/jats:sec>","DOI":"10.25259\/sni_333_2021","type":"journal-article","created":{"date-parts":[[2021,7,27]],"date-time":"2021-07-27T07:47:47Z","timestamp":1627372067000},"page":"375","update-policy":"http:\/\/dx.doi.org\/10.25259\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Emergency surgery for traumatic spinal cord injury in a secondary hospital: A case report"],"prefix":"10.25259","volume":"12","author":[{"given":"Tedy","family":"Apriawan","sequence":"first","affiliation":[{"name":"Department of Neurosurgery, Universitas Airlangga Hospital, Surabaya, East Java, Indonesia."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pandu","family":"Wicaksono","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Mitra Keluarga Satelit Hospital, Surabaya, East Java, Indonesia."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rizki","family":"Meizikri","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Airlangga University, Surabaya, East Java, Indonesia."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eko Agus","family":"Subagio","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Airlangga University, Surabaya, East Java, Indonesia."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"10894","published-online":{"date-parts":[[2021,7,27]]},"reference":[{"key":"10.25259\/SNI_333_2021\/ref-1","doi-asserted-by":"crossref","first-page":"448","DOI":"10.1089\/neu.2019.6606","article-title":"Efficacy of ultra-early (< 12 h), early (12-24 h), and Late (>24-138.5 h) surgery with magnetic resonance imaging-confirmed decompression in American spinal injury association impairment scale grades A, B, and C cervical spinal cord injury","volume":"37","author":"Aarabi","year":"2020","journal-title":"J Neurotrauma"},{"key":"10.25259\/SNI_333_2021\/ref-2","doi-asserted-by":"crossref","first-page":"610","DOI":"10.1093\/neuros\/nyw053","article-title":"Intramedullary lesion length on postoperative magnetic resonance imaging is a strong predictor of ASIA impairment scale grade conversion following decompressive surgery in cervical spinal cord injury","volume":"80","author":"Aarabi","year":"2017","journal-title":"Clin Neurosurg"},{"key":"10.25259\/SNI_333_2021\/ref-3","doi-asserted-by":"crossref","first-page":"1341","DOI":"10.1089\/neu.2009.1168","article-title":"Pre-Hospital care management of a potential spinal cord injured patient: A systematic review of the literature and evidence-based guidelines","volume":"28","author":"Ahn","year":"2011","journal-title":"J. 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