{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,3]],"date-time":"2026-07-03T11:20:21Z","timestamp":1783077621266,"version":"3.54.6"},"reference-count":11,"publisher":"Scientific Scholar","content-domain":{"domain":["surgicalneurologyint.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"\n Background:<\/jats:title>\n Subacute posttraumatic ascending myelopathy (SPAM) is a rare but serious complication of spinal cord injury (SCI). It is extremely unusual for a thoracolumbar fracture to cause an ascending injury to the cervical cord, creating significant diagnostic and therapeutic challenges.<\/jats:p>\n <\/jats:sec>\n \n Case Description:<\/jats:title>\n \n A 26-year-old male suffered an L1 unstable burst fracture with complete paraplegia (American Spinal Injury Association A) following a motor vehicle accident. He underwent posterior decompression with short-segment D12-L2 fixation. After an initial uneventful recovery, he acutely deteriorated on the 7\n th<\/jats:sup>\n postoperative day, now demonstrating new left upper limb\/trunk paresis with accompanying sensory loss over the anterolateral aspect of the left forearm and bilateral hand. The immediate magnetic resonance imaging (MRI) demonstrated extensive C3-C4 to D12 spinal cord edema consistent with subacute posttraumatic ascending myelopathy (SPAM); it was treated with high-dose intravenous methylprednisolone. One month later, he had partially recovered left upper limb strength, but lower extremity plegia remained (i.e., unchanged up to the 9-month follow-up).\n <\/jats:p>\n <\/jats:sec>\n \n Conclusion:<\/jats:title>\n SPAM is a rare but potentially life-threatening complication following SCI that is characterized by rapid neurological decline. Early recognition utilizing timely MRI is essential to determining optimal management strategies that may vary from high-dose steroids to additional surgical intervention.<\/jats:p>\n <\/jats:sec>","DOI":"10.25259\/sni_467_2026","type":"journal-article","created":{"date-parts":[[2026,7,3]],"date-time":"2026-07-03T10:37:26Z","timestamp":1783075046000},"page":"382","update-policy":"https:\/\/doi.org\/10.25259\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Silent ascent of injury: Cervical cord involvement in subacute posttraumatic ascending myelopathy"],"prefix":"10.25259","volume":"17","author":[{"given":"Hamza","family":"Shaikh","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aditya","family":"Chouhan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"10894","published-online":{"date-parts":[[2026,7,3]]},"reference":[{"key":"10.25259\/SNI_467_2026\/ref-1","doi-asserted-by":"crossref","first-page":"617","DOI":"10.1038\/sj.sc.3100872","article-title":"Ascending myelopathy in the early stage of spinal cord injury","volume":"37","author":"Aito","year":"1999","journal-title":"Spinal Cord"},{"key":"10.25259\/SNI_467_2026\/ref-2","doi-asserted-by":"crossref","first-page":"619","DOI":"10.3171\/spi.2005.2.5.0619","article-title":"Pathological features including apoptosis in subacute posttraumatic ascending myelopathy. 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