{"id":"https://openalex.org/W7221808461","doi":"https://doi.org/10.21037/jss-2026-0155","title":"Delayed neurological deterioration during halo-vest correction of dropped head syndrome after cervical laminoplasty in a 68-year-old man: a case report","display_name":"Delayed neurological deterioration during halo-vest correction of dropped head syndrome after cervical laminoplasty in a 68-year-old man: a case report","publication_year":2026,"publication_date":"2026-10-01","ids":{"openalex":"https://openalex.org/W7221808461","doi":"https://doi.org/10.21037/jss-2026-0155","pmid":"https://pubmed.ncbi.nlm.nih.gov/42996605","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/13739641"},"language":"en","primary_location":{"id":"doi:10.21037/jss-2026-0155","doi":"https://doi.org/10.21037/jss-2026-0155","is_oa":true,"landing_page_url":"https://doi.org/10.21037/jss-2026-0155","pdf_url":null,"source":{"id":"https://openalex.org/S4210218761","display_name":"Journal of Spine Surgery","issn_l":"2414-4630","issn":["2414-4630","2414-469X"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","ki-jl-1","poland-20","russia-white-list-2"],"host_organization":"https://openalex.org/P4310321814","host_organization_name":"AME Publishing Company","host_organization_lineage":["https://openalex.org/P4310321814"],"host_organization_lineage_names":["AME Publishing Company"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Spine Surgery","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","doaj","pubmed"],"open_access":{"is_oa":true,"oa_status":"diamond","oa_url":"https://doi.org/10.21037/jss-2026-0155","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5016260411","display_name":"Hokuto Yamashita","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210161392","display_name":"Kitano Hospital","ror":"https://ror.org/05rsbck92","country_code":"JP","type":"healthcare","lineage":["https://openalex.org/I4210161392"]}],"countries":["JP"],"is_corresponding":true,"raw_author_name":"Hokuto Yamashita","raw_affiliation_strings":["Department of Spine Surgery, Shin-ai Kai Spine Center, Katano Hospital, Osaka, Japan"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Spine Surgery, Shin-ai Kai Spine Center, Katano Hospital, Osaka, Japan","institution_ids":["https://openalex.org/I4210161392"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5053663524","display_name":"Nobuaki Naito","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210161392","display_name":"Kitano Hospital","ror":"https://ror.org/05rsbck92","country_code":"JP","type":"healthcare","lineage":["https://openalex.org/I4210161392"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Nobuaki Naito","raw_affiliation_strings":["Department of Spine Surgery, Shin-ai Kai Spine Center, Katano Hospital, Osaka, Japan"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Spine Surgery, Shin-ai Kai Spine Center, Katano Hospital, Osaka, Japan","institution_ids":["https://openalex.org/I4210161392"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5158723927","display_name":"Takanobu Miyamoto","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I190805021","display_name":"Wakayama Medical University","ror":"https://ror.org/005qv5373","country_code":"JP","type":"education","lineage":["https://openalex.org/I190805021"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Takanobu Miyamoto","raw_affiliation_strings":["Department of Neurosurgery, Wakayama Medical University, Wakayama, Japan"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Neurosurgery, Wakayama Medical University, Wakayama, Japan","institution_ids":["https://openalex.org/I190805021"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5044903003","display_name":"Shigeo Ueda","orcid":"https://orcid.org/0000-0003-4037-1247","observed_orcids":["https://orcid.org/0000-0003-4037-1247"]},"institutions":[{"id":"https://openalex.org/I4210161392","display_name":"Kitano Hospital","ror":"https://ror.org/05rsbck92","country_code":"JP","type":"healthcare","lineage":["https://openalex.org/I4210161392"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Shigeo Ueda","raw_affiliation_strings":["Department of Spine Surgery, Shin-ai Kai Spine Center, Katano Hospital, Osaka, Japan"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Spine Surgery, Shin-ai Kai Spine Center, Katano Hospital, Osaka, Japan","institution_ids":["https://openalex.org/I4210161392"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5060253251","display_name":"Nobuhiro Sasaki","orcid":"https://orcid.org/0000-0001-7474-9493","observed_orcids":["https://orcid.org/0000-0001-7474-9493"]},"institutions":[{"id":"https://openalex.org/I4210161392","display_name":"Kitano Hospital","ror":"https://ror.org/05rsbck92","country_code":"JP","type":"healthcare","lineage":["https://openalex.org/I4210161392"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Nobuhiro Sasaki","raw_affiliation_strings":["Department of Spine Surgery, Shin-ai Kai Spine Center, Katano Hospital, Osaka, Japan"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Spine Surgery, Shin-ai Kai Spine Center, Katano Hospital, Osaka, Japan","institution_ids":["https://openalex.org/I4210161392"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5074360690","display_name":"Miyuki Fukuda","orcid":"https://orcid.org/0000-0002-2849-2700","observed_orcids":["https://orcid.org/0000-0002-2849-2700"]},"institutions":[{"id":"https://openalex.org/I4210161392","display_name":"Kitano Hospital","ror":"https://ror.org/05rsbck92","country_code":"JP","type":"healthcare","lineage":["https://openalex.org/I4210161392"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Miyuki Fukuda","raw_affiliation_strings":["Department of Spine Surgery, Shin-ai Kai Spine Center, Katano Hospital, Osaka, Japan"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Spine Surgery, Shin-ai Kai Spine Center, Katano Hospital, Osaka, Japan","institution_ids":["https://openalex.org/I4210161392"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5034622699","display_name":"Atsuhiko Toyoshima","orcid":"https://orcid.org/0000-0002-3571-7162","observed_orcids":["https://orcid.org/0000-0002-3571-7162"]},"institutions":[{"id":"https://openalex.org/I4210161392","display_name":"Kitano Hospital","ror":"https://ror.org/05rsbck92","country_code":"JP","type":"healthcare","lineage":["https://openalex.org/I4210161392"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Atsuhiko Toyoshima","raw_affiliation_strings":["Department of Spine Surgery, Shin-ai Kai Spine Center, Katano Hospital, Osaka, Japan"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Spine Surgery, Shin-ai Kai Spine Center, Katano Hospital, Osaka, Japan","institution_ids":["https://openalex.org/I4210161392"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5043159090","display_name":"Masayuki Kuroda","orcid":"https://orcid.org/0000-0002-1693-3177","observed_orcids":["https://orcid.org/0000-0002-1693-3177"]},"institutions":[{"id":"https://openalex.org/I4210161392","display_name":"Kitano Hospital","ror":"https://ror.org/05rsbck92","country_code":"JP","type":"healthcare","lineage":["https://openalex.org/I4210161392"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Masayuki Kuroda","raw_affiliation_strings":["Department of Spine Surgery, Shin-ai Kai Spine Center, Katano Hospital, Osaka, Japan"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Spine Surgery, Shin-ai Kai Spine Center, Katano Hospital, Osaka, Japan","institution_ids":["https://openalex.org/I4210161392"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5078009912","display_name":"Minoru Hoshimaru","orcid":"https://orcid.org/0000-0003-0244-7028","observed_orcids":["https://orcid.org/0000-0003-0244-7028"]},"institutions":[{"id":"https://openalex.org/I4210161392","display_name":"Kitano Hospital","ror":"https://ror.org/05rsbck92","country_code":"JP","type":"healthcare","lineage":["https://openalex.org/I4210161392"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Minoru Hoshimaru","raw_affiliation_strings":["Department of Spine Surgery, Shin-ai Kai Spine Center, Katano Hospital, Osaka, Japan"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Spine Surgery, Shin-ai Kai Spine Center, Katano Hospital, Osaka, Japan","institution_ids":["https://openalex.org/I4210161392"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5081252543","display_name":"Jiro Ohara","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210161392","display_name":"Kitano Hospital","ror":"https://ror.org/05rsbck92","country_code":"JP","type":"healthcare","lineage":["https://openalex.org/I4210161392"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Jiro Ohara","raw_affiliation_strings":["Department of Spine Surgery, Shin-ai Kai Spine Center, Katano Hospital, Osaka, Japan"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Spine Surgery, Shin-ai Kai Spine Center, Katano Hospital, Osaka, Japan","institution_ids":["https://openalex.org/I4210161392"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":["https://openalex.org/A5016260411"],"corresponding_institution_ids":["https://openalex.org/I4210161392"],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":{"value":0.80522801,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"12","issue":"10","first_page":"171","last_page":"171"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11518","display_name":"Cervical and Thoracic Myelopathy","score":0.9984999895095825,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11518","display_name":"Cervical and Thoracic Myelopathy","score":0.9984999895095825,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10776","display_name":"Spinal Fractures and Fixation Techniques","score":0.0005000000237487257,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11030","display_name":"Scoliosis diagnosis and treatment","score":0.0003000000142492354,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/dropped-head-syndrome","display_name":"dropped head syndrome","score":0.9860000014305115},{"id":"https://openalex.org/keywords/cervical-laminoplasty","display_name":"cervical laminoplasty","score":0.9190000295639038},{"id":"https://openalex.org/keywords/delayed-neurological-deterioration","display_name":"delayed neurological deterioration","score":0.8949999809265137},{"id":"https://openalex.org/keywords/spinal-cord-compression","display_name":"spinal cord compression","score":0.875},{"id":"https://openalex.org/keywords/cervical-myelopathy","display_name":"cervical myelopathy","score":0.5490000247955322},{"id":"https://openalex.org/keywords/gait-disturbance","display_name":"gait disturbance","score":0.5669999718666077},{"id":"https://openalex.org/keywords/urinary-retention","display_name":"urinary retention","score":0.6439999938011169},{"id":"https://openalex.org/keywords/anterior-cervical-fusion","display_name":"anterior cervical fusion","score":0.6359999775886536}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9441999793052673},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.7228999733924866},{"id":"https://openalex.org/C2780091945","wikidata":"https://www.wikidata.org/wiki/Q1801578","display_name":"Laminectomy","level":3,"score":0.603600025177002},{"id":"https://openalex.org/C143409427","wikidata":"https://www.wikidata.org/wiki/Q161238","display_name":"Magnetic resonance imaging","level":2,"score":0.541100025177002},{"id":"https://openalex.org/C2780247198","wikidata":"https://www.wikidata.org/wiki/Q633403","display_name":"Weakness","level":2,"score":0.5228999853134155},{"id":"https://openalex.org/C2778284751","wikidata":"https://www.wikidata.org/wiki/Q6482010","display_name":"Laminoplasty","level":4,"score":0.49230000376701355},{"id":"https://openalex.org/C2779982284","wikidata":"https://www.wikidata.org/wiki/Q1182746","display_name":"Deformity","level":2,"score":0.4140999913215637},{"id":"https://openalex.org/C2778231337","wikidata":"https://www.wikidata.org/wiki/Q2990703","display_name":"Spinal cord compression","level":3,"score":0.4034000039100647},{"id":"https://openalex.org/C2776944266","wikidata":"https://www.wikidata.org/wiki/Q900457","display_name":"Cervical vertebrae","level":2,"score":0.38370001316070557},{"id":"https://openalex.org/C2780775167","wikidata":"https://www.wikidata.org/wiki/Q9606","display_name":"Spinal cord","level":2,"score":0.3628000020980835},{"id":"https://openalex.org/C2779480328","wikidata":"https://www.wikidata.org/wiki/Q1183684","display_name":"Decompression","level":2,"score":0.3361000120639801},{"id":"https://openalex.org/C2779632786","wikidata":"https://www.wikidata.org/wiki/Q920297","display_name":"Cord","level":2,"score":0.3273000121116638},{"id":"https://openalex.org/C2780168130","wikidata":"https://www.wikidata.org/wiki/Q2916167","display_name":"Neurological examination","level":2,"score":0.3264000117778778},{"id":"https://openalex.org/C92162645","wikidata":"https://www.wikidata.org/wiki/Q655955","display_name":"Intramedullary rod","level":2,"score":0.323199987411499},{"id":"https://openalex.org/C36454342","wikidata":"https://www.wikidata.org/wiki/Q245341","display_name":"Radiography","level":2,"score":0.31949999928474426},{"id":"https://openalex.org/C2776418732","wikidata":"https://www.wikidata.org/wiki/Q270421","display_name":"Muscle weakness","level":2,"score":0.2800000011920929},{"id":"https://openalex.org/C126838900","wikidata":"https://www.wikidata.org/wiki/Q77604","display_name":"Radiology","level":1,"score":0.27959999442100525},{"id":"https://openalex.org/C13483470","wikidata":"https://www.wikidata.org/wiki/Q1470152","display_name":"Coronal plane","level":2,"score":0.2784999907016754},{"id":"https://openalex.org/C2778097013","wikidata":"https://www.wikidata.org/wiki/Q68212673","display_name":"Palsy","level":3,"score":0.27489998936653137},{"id":"https://openalex.org/C2779281540","wikidata":"https://www.wikidata.org/wiki/Q5062122","display_name":"Central nervous system disease","level":2,"score":0.27469998598098755},{"id":"https://openalex.org/C2989005","wikidata":"https://www.wikidata.org/wiki/Q214963","display_name":"Nuclear medicine","level":1,"score":0.27140000462532043},{"id":"https://openalex.org/C151800584","wikidata":"https://www.wikidata.org/wiki/Q2370000","display_name":"Gait","level":2,"score":0.26930001378059387},{"id":"https://openalex.org/C2779785605","wikidata":"https://www.wikidata.org/wiki/Q7049641","display_name":"Pseudarthrosis","level":2,"score":0.26440000534057617},{"id":"https://openalex.org/C2781156865","wikidata":"https://www.wikidata.org/wiki/Q827023","display_name":"Lesion","level":2,"score":0.258899986743927},{"id":"https://openalex.org/C2777905831","wikidata":"https://www.wikidata.org/wiki/Q2122468","display_name":"Myelography","level":3,"score":0.25850000977516174},{"id":"https://openalex.org/C2779618896","wikidata":"https://www.wikidata.org/wiki/Q107231","display_name":"Paralysis","level":2,"score":0.25}],"mesh":[],"locations_count":3,"locations":[{"id":"doi:10.21037/jss-2026-0155","doi":"https://doi.org/10.21037/jss-2026-0155","is_oa":true,"landing_page_url":"https://doi.org/10.21037/jss-2026-0155","pdf_url":null,"source":{"id":"https://openalex.org/S4210218761","display_name":"Journal of Spine Surgery","issn_l":"2414-4630","issn":["2414-4630","2414-469X"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","ki-jl-1","poland-20","russia-white-list-2"],"host_organization":"https://openalex.org/P4310321814","host_organization_name":"AME Publishing Company","host_organization_lineage":["https://openalex.org/P4310321814"],"host_organization_lineage_names":["AME Publishing Company"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Spine Surgery","raw_type":"journal-article"},{"id":"pmid:42996605","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/42996605","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of spine surgery (Hong Kong)","raw_type":"Case Reports"},{"id":"pmh:oai:pubmedcentral.nih.gov:13739641","doi":null,"is_oa":true,"landing_page_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13739641/","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"J Spine Surg","raw_type":"Text"}],"best_oa_location":{"id":"doi:10.21037/jss-2026-0155","doi":"https://doi.org/10.21037/jss-2026-0155","is_oa":true,"landing_page_url":"https://doi.org/10.21037/jss-2026-0155","pdf_url":null,"source":{"id":"https://openalex.org/S4210218761","display_name":"Journal of Spine Surgery","issn_l":"2414-4630","issn":["2414-4630","2414-469X"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","ki-jl-1","poland-20","russia-white-list-2"],"host_organization":"https://openalex.org/P4310321814","host_organization_name":"AME Publishing Company","host_organization_lineage":["https://openalex.org/P4310321814"],"host_organization_lineage_names":["AME Publishing Company"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Spine Surgery","raw_type":"journal-article"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being","score":0.9537000060081482}],"study_designs":[{"id":"https://openalex.org/study-designs/case-report","display_name":"Case Report"}],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W2795948348","https://openalex.org/W2011691780","https://openalex.org/W2104237299","https://openalex.org/W4283802137","https://openalex.org/W1852805506","https://openalex.org/W2460344686","https://openalex.org/W2969426787","https://openalex.org/W2073466354","https://openalex.org/W1966866463","https://openalex.org/W2151656821"],"abstract_inverted_index":{"Background:":[0],"Delayed":[1],"neurological":[2,151,324],"deterioration":[3],"during":[4,32,308],"gradual":[5,309],"correction":[6,34,279,296],"of":[7,24,53,79],"dropped":[8],"head":[9],"syndrome":[10],"(DHS)":[11],"is":[12],"clinically":[13],"important":[14],"because":[15],"brief":[16,289],"flexibility":[17],"testing":[18],"may":[19,280,320],"not":[20,286,293],"reproduce":[21],"the":[22,139,145,178,231,255],"effects":[23],"sustained":[25,278],"realignment.":[26],"We":[27],"describe":[28],"delayed":[29],"myelopathic":[30],"worsening":[31],"halo-vest":[33,137],"after":[35,46,50,188],"previous":[36],"cervical":[37,73],"laminoplasty.":[38],"Case":[39],"Description:":[40],"A":[41],"68-year-old":[42],"man,":[43],"7":[44],"years":[45],"C3-6":[47,217],"laminoplasty,":[48],"presented":[49],"6":[51],"months":[52,249],"progressive":[54],"chin-on-chest":[55],"deformity":[56,140],"and":[57,66,81,102,123,197,211,220,236,241,263,305,314],"gait":[58],"disturbance.":[59],"Baseline":[60],"findings":[61],"included":[62],"left-predominant":[63,242],"limb":[64],"weakness":[65,243],"atrophy,":[67],"a":[68,72,298],"left":[69],"Babinski":[70],"sign,":[71],"Japanese":[74],"Orthopaedic":[75],"Association":[76],"(JOA)":[77],"score":[78,233],"10.5,":[80],"preserved":[82],"spontaneous":[83],"urination.":[84],"The":[85,170,202],"C2-7":[86,146],"angle":[87,147],"was":[88,134,141,172,181,205,234],"-42.6":[89],"degrees.":[90],"Dynamic":[91],"magnetic":[92],"resonance":[93],"imaging":[94,316],"(MRI)":[95],"showed":[96,192,250],"an":[97],"intramedullary":[98],"T2":[99],"high-signal":[100],"lesion":[101],"posterior":[103,194,223,265],"extradural":[104],"tissue":[105,195],"at":[106,200,247],"C2/3":[107],"that":[108,277],"enlarged":[109],"in":[110,121,126],"extension;":[111],"anterior":[112,218,257],"C2":[113,209,269],"translation":[114],"relative":[115],"to":[116,148,207,270],"C3":[117,212],"measured":[118],"6.2":[119],"mm":[120,125],"flexion":[122],"3.4":[124],"extension":[127],"(difference,":[128],"2.8":[129],"mm).":[130],"Fifteen-minute":[131],"fulcrum":[132],"bending":[133],"tolerated.":[135],"At":[136,225],"application,":[138],"corrected":[142],"once,":[143],"improving":[144],"-27.0":[149],"degrees;":[150],"examinations":[152],"were":[153],"performed":[154],"twice":[155],"daily.":[156],"Gait":[157],"progressively":[158],"worsened":[159],"on":[160,167,174],"days":[161],"3-4,":[162],"followed":[163,215],"by":[164,216,288],"urinary":[165],"retention":[166],"day":[168,175,184],"4.":[169],"vest":[171],"removed":[173],"4":[176],"while":[177],"halo":[179,253,295],"ring":[180],"retained":[182],"until":[183],"7;":[185],"symptoms":[186],"improved":[187],"release.":[189],"Urgent":[190],"MRI":[191],"greater":[193],"infolding":[196],"cord":[198,284],"compression":[199,285],"C2/3.":[201],"surgical":[203],"plan":[204],"changed":[206],"partial":[208],"laminectomy":[210],"spacer":[213],"removal,":[214],"fusion":[219],"staged":[221],"C2-T2":[222],"fixation.":[224],"8":[226],"months,":[227],"he":[228],"walked":[229],"independently,":[230],"JOA":[232],"15,":[235],"mild":[237],"distal":[238],"hand":[239],"numbness":[240],"remained.":[244],"Computed":[245],"tomography":[246],"18":[248],"no":[251],"radiolucent":[252],"around":[254],"three":[256],"cages,":[258],"consistent":[259],"with":[260,311],"interbody":[261],"fusion,":[262],"continuous":[264],"bridging":[266],"bone":[267],"from":[268],"T2.":[271],"Conclusions:":[272],"This":[273],"single":[274],"case":[275],"suggests":[276],"expose":[281],"time-dependent":[282],"spinal":[283],"predicted":[287],"testing;":[290],"it":[291],"does":[292],"validate":[294],"as":[297],"diagnostic":[299],"test.":[300],"Repeated":[301],"motor,":[302],"sensory,":[303],"gait,":[304],"sphincter":[306],"assessment":[307],"realignment,":[310],"prompt":[312],"release":[313],"urgent":[315],"for":[317],"new":[318],"deficits,":[319],"help":[321],"prevent":[322],"persistent":[323],"injury.":[325]},"counts_by_year":[],"updated_date":"2026-11-09T13:22:03.289127","created_date":"2026-10-15T00:00:00"}