{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,25]],"date-time":"2026-06-25T06:47:30Z","timestamp":1782370050303,"version":"3.54.5"},"reference-count":47,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,6,25]],"date-time":"2026-06-25T00:00:00Z","timestamp":1782345600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Surg."],"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Spontaneous spinal epidural hematoma (SSEH) represents a rare neurosurgical emergency. While conventional open surgical decompression remains the standard of care, it necessitates substantial tissue dissection and is associated with prolonged recovery periods.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>The patient underwent enhanced magnetic resonance imaging (MRI) confirming SSEH at C7-T2. Surgical decompression and hematoma evacuation were performed using a unilateral biportal endoscopy (UBE) technique under general anesthesia.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>UBE was completed successfully in 90\u2005min with an estimated blood loss of 50\u2005mL. The patient demonstrated significant neurological improvement, achieving independent ambulation with a walker by postoperative day 3. At the 6-month follow-up, she attained ASIA grade E with only minimal residual increase in lower limb muscle tone.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>UBE offers a viable minimally invasive alternative to open surgery for SSEH evacuation. This technique provides excellent visualization and precise decompression while preserving spinal stability, resulting in reduced surgical trauma and accelerated neurological recovery.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fsurg.2026.1756449","type":"journal-article","created":{"date-parts":[[2026,6,25]],"date-time":"2026-06-25T06:05:50Z","timestamp":1782367550000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Unilateral biportal endoscopic decompression for acute spontaneous spinal epidural hematoma at the cervicothoracic junction: a case report and literature review"],"prefix":"10.3389","volume":"13","author":[{"given":"Longyao","family":"Cao","sequence":"first","affiliation":[{"name":"Department of Spinal Surgery, Bishan Hospital of Chongqing Medical University","place":["Chongqing, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hui","family":"Lu","sequence":"additional","affiliation":[{"name":"Department of Spinal Surgery, Bishan Hospital of Chongqing Medical University","place":["Chongqing, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dongjie","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Spinal Surgery, Bishan Hospital of Chongqing Medical University","place":["Chongqing, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2026,6,25]]},"reference":[{"key":"B1","first-page":"31","article-title":"Spontaneous spinal epidural hematoma: a case report and review of the literatures","volume":"21","author":"Lo","year":"2012","journal-title":"Acta Neurol Taiwan"},{"key":"B2","first-page":"1","article-title":"Spinal cord compression due to spontaneous epidural hemorrhage; report of three cases","volume":"20","author":"Amyes","year":"1955","journal-title":"Bull Los Angel Neuro Soc"},{"key":"B3","doi-asserted-by":"publisher","first-page":"823","DOI":"10.1148\/80.5.823","article-title":"Spontaneous spinal epidural hematoma","volume":"80","author":"Gold","year":"1963","journal-title":"Radiology"},{"key":"B4","doi-asserted-by":"publisher","first-page":"121","DOI":"10.1016\/0022-510X(90)90253-J","article-title":"The spontaneous spinal epidural hematoma. 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