{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2022,3,30]],"date-time":"2022-03-30T22:58:22Z","timestamp":1648681102416},"reference-count":24,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2005,9]]},"abstract":"\u2713 The authors report the case of an 87-year-old woman who suffered from T1\u20132 pyogenic spondylitis resulting in progressive and severe paraplegia. Debridement and anterior manubrium-splitting fusion were difficult because a high-positioned aortic arch was very close to the infectious lesion. Because adequate intravenous antibiotic agents had nearly resolved the inflammation, the authors undertook anterior debridement and posterior fusion that involved costotransversectomy and the placement of a posterior cervical pedicle screw fixation system. At 1.5 years postoperatively, there were no signs of recurrent infection. Solid osseous union was documented, and the patient's paraplegia had improved.<\/jats:p>\nA high-positioned aortic arch will likely interfere with an anterior approach to the cervicothoracic junction. If adequate antibiotic therapy has successfully controlled the spinal infection, anterior debridement and posterior fusion can be conducted in cases involving such anatomical limitations.<\/jats:p>","DOI":"10.3171\/spi.2005.3.3.0242","type":"journal-article","created":{"date-parts":[[2009,5,7]],"date-time":"2009-05-07T16:02:43Z","timestamp":1241712163000},"page":"242-245","source":"Crossref","is-referenced-by-count":0,"title":["Pyogenic spondylitis in the cervicothoracic junction with high-positioned aortic arch"],"prefix":"10.3171","volume":"3","author":[{"given":"Hisashi","family":"Yoshimoto","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shigenobu","family":"Sato","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Takahiko","family":"Hyakumachi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yasushi","family":"Yanagibashi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Takeshi","family":"Masuda","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1754","reference":[{"key":"b1","doi-asserted-by":"publisher","DOI":"10.1097\/00007632-199708150-00010"},{"key":"b2","doi-asserted-by":"publisher","DOI":"10.1097\/00007632-200004150-00011"},{"key":"b3","doi-asserted-by":"publisher","DOI":"10.1097\/00002517-199502000-00010"},{"key":"b4","doi-asserted-by":"publisher","DOI":"10.1097\/00007632-199411001-00011"},{"key":"b5","doi-asserted-by":"crossref","first-page":"405","DOI":"10.1002\/(SICI)1098-2353(1997)10:6<405::AID-CA6>3.0.CO;2-N","volume":"10","author":"Chukwuemeka A","year":"1997","journal-title":"Clin Anat"},{"key":"b6","doi-asserted-by":"publisher","DOI":"10.1016\/0090-3019(91)90005-T"},{"key":"b7","doi-asserted-by":"crossref","first-page":"1519","DOI":"10.1097\/00007632-199507000-00015","volume":"20","author":"Darling GE","year":"1995","journal-title":"Spine"},{"key":"b8","doi-asserted-by":"publisher","DOI":"10.3171\/spi.2001.94.1.0038"},{"key":"b9","doi-asserted-by":"crossref","first-page":"675","DOI":"10.1097\/00007632-200204010-00002","volume":"27","author":"Fraser JF","year":"2002","journal-title":"Spine"},{"key":"b10","doi-asserted-by":"publisher","DOI":"10.1038\/sc.1996.70"},{"key":"b11","first-page":"E302","volume":"28","author":"Fukuta S","year":"2003","journal-title":"Spine"},{"key":"b12","doi-asserted-by":"publisher","DOI":"10.1227\/00006123-199510000-00014"},{"key":"b13","doi-asserted-by":"publisher","DOI":"10.1097\/00002517-199306030-00003"},{"key":"b14","doi-asserted-by":"publisher","DOI":"10.1097\/00007632-200007010-00010"},{"key":"b15","unstructured":"Harms J, Tabasso G (eds):Instrumented Spinal Surgery: Principles and Technique.Stuttgart: Thieme, 1999, pp 182\u2013193"},{"key":"b16","first-page":"1036","volume":"28","author":"Klockner C","year":"2003","journal-title":"Spine"},{"key":"b17","doi-asserted-by":"crossref","first-page":"1013","DOI":"10.2106\/00004623-200206000-00017","volume":"84","author":"Luk KDK","year":"2002","journal-title":"J Bone Joint Surg Am"},{"key":"b18","doi-asserted-by":"publisher","DOI":"10.1097\/00002517-199412000-00006"},{"key":"b19","doi-asserted-by":"publisher","DOI":"10.3171\/jns.1985.62.3.0344"},{"key":"b20","doi-asserted-by":"publisher","DOI":"10.3171\/spi.2001.94.1.0001"},{"key":"b21","doi-asserted-by":"publisher","DOI":"10.1097\/00006123-199605000-00013"},{"key":"b22","first-page":"102","volume":"12","author":"Sar C","year":"1999","journal-title":"J Spinal Disord"},{"key":"b23","doi-asserted-by":"publisher","DOI":"10.3171\/jns.1984.61.4.0686"},{"key":"b24","doi-asserted-by":"publisher","DOI":"10.1097\/00007632-199011010-00006"}],"container-title":["Journal of Neurosurgery: Spine"],"original-title":[],"link":[{"URL":"https:\/\/thejns.org\/view\/journals\/j-neurosurg-spine\/3\/3\/article-p242.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/j-neurosurg-spine\/3\/3\/article-p242.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2020,11,13]],"date-time":"2020-11-13T23:34:45Z","timestamp":1605310485000},"score":1,"resource":{"primary":{"URL":"https:\/\/thejns.org\/view\/journals\/j-neurosurg-spine\/3\/3\/article-p242.xml"}},"subtitle":["Case report and review of the literature"],"short-title":[],"issued":{"date-parts":[[2005,9]]},"references-count":24,"journal-issue":{"issue":"3"},"URL":"https:\/\/doi.org\/10.3171\/spi.2005.3.3.0242","relation":{},"ISSN":["1547-5654"],"issn-type":[{"value":"1547-5654","type":"print"}],"subject":[],"published":{"date-parts":[[2005,9]]}}}