{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,6]],"date-time":"2026-03-06T03:07:06Z","timestamp":1772766426989,"version":"3.50.1"},"reference-count":20,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["SPI"],"published-print":{"date-parts":[[2013,10]]},"abstract":"<jats:p>A 65-year-old woman underwent an uneventful C3\u20134 anterior cervical discectomy and fusion for a large, symptomatic disc herniation. On postoperative Day 1 the patient suffered a sudden, acute respiratory compromise. Emergency fiberoptic intubation revealed significant anterior neck swelling with concern for physical obstruction of the airway. Computed tomography of the neck did not demonstrate an expanding hematoma. The patient was managed with surgical wound exploration and washout. Examination of the anterior neck after incision of the prior surgical site revealed a large volume of Surgifoam under high pressure, which was greater than the amount used during the initial surgery. Thorough washout of the surgical site did not reveal any swelling of the prevertebral soft tissues or hematoma, and the Hemovac drain did not appear to be occluded. The patient was extubated on the 2nd postoperative day and is symptom free 12 months after surgery. To the authors' knowledge, this report represents the first reported complication of acute respiratory failure from Surgifoam overexpansion after anterior cervical surgery.<\/jats:p>","DOI":"10.3171\/2013.7.spine1328","type":"journal-article","created":{"date-parts":[[2013,8,23]],"date-time":"2013-08-23T14:01:48Z","timestamp":1377266508000},"page":"428-430","source":"Crossref","is-referenced-by-count":7,"title":["Acute respiratory failure from Surgifoam expansion after anterior cervical surgery"],"prefix":"10.3171","volume":"19","author":[{"given":"Branko","family":"Skovrlj","sequence":"first","affiliation":[{"name":"Departments of Neurosurgery,"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Justin R.","family":"Mascitelli","sequence":"additional","affiliation":[{"name":"Departments of Neurosurgery,"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Martin B.","family":"Camins","sequence":"additional","affiliation":[{"name":"Departments of Neurosurgery,"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amish H.","family":"Doshi","sequence":"additional","affiliation":[{"name":"Radiology, and"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sheeraz A.","family":"Qureshi","sequence":"additional","affiliation":[{"name":"Orthopaedics, Mount Sinai School of Medicine, New York, New York"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1754","reference":[{"key":"b1-spine1328","series-title":"Spine (Phila Pa 1976)","doi-asserted-by":"publisher","first-page":"970","DOI":"10.1097\/00007632-199504150-00016","article-title":"Gelfoam-induced acute quadriparesis after cervical decompression and fusion","volume":"20","author":"Alander","year":"1995"},{"key":"b2-spine1328","series-title":"Masui","first-page":"1193","article-title":"[Minitracheotomy in treating upper airway obstruction after anterior cervical fusion.]","volume":"53","author":"Arimune","year":"2004"},{"key":"b3-spine1328","series-title":"J Comput Assist Tomogr","doi-asserted-by":"publisher","first-page":"969","DOI":"10.1097\/00004728-199911000-00029","article-title":"MRI of marked dural sac compression by surgicel in the immediately postoperative period after uncomplicated lumbar laminectomy","volume":"23","author":"Awwad","year":"1999"},{"key":"b4-spine1328","series-title":"South Med J","doi-asserted-by":"publisher","first-page":"481","DOI":"10.1097\/00007611-199805000-00016","article-title":"\u2018Surgiceloma\u2019 manifested as cauda equina syndrome","volume":"91","author":"Banerjee","year":"1998"},{"key":"b5-spine1328","series-title":"Acta Neurochir (Wien)","doi-asserted-by":"publisher","first-page":"41","DOI":"10.1007\/BF01407775","article-title":"Complications of anterior cervical discectomy without fusion in 450 consecutive patients","volume":"99","author":"Bertalanffy","year":"1989"},{"key":"b6-spine1328","series-title":"Ann R Coll Surg Engl","first-page":"97","article-title":"Intraspinal oxidised cellulose (Surgicel) causing delayed paraplegia after thoracotomy\u2014a report of three cases","volume":"84","author":"Brodbelt","year":"2002"},{"key":"b7-spine1328","series-title":"Spine (Phila Pa 1776)","doi-asserted-by":"publisher","first-page":"E473","DOI":"10.1097\/BRS.0b013e3181a56a21","article-title":"Epidural spinal cord compression with neurologic deficit associated with intrapedicular application of hemostatic gelatin matrix during pedicle screw insertion","volume":"34","author":"Buchowski","year":"2009"},{"key":"b8-spine1328","series-title":"J Bone Joint Surg Am","first-page":"370","article-title":"Airway obstruction caused by cerebrospinal fluid leakage after anterior cervical spine surgery. 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