{
  "abstract": "Background\n\nAggressive vertebral hemangiomas (VHs) rarely cause fracture or epidural hemorrhage. Pregnancy- related hemodynamic changes may promote progression, whereas the role of instability is poorly defined.Case description\n\nA 30-year-old female presented 2-week postpartum with severe mechanical thoracolumbar pain and mild right leg weakness. Imaging showed an aggressive T12 VH with >50% collapse, kyphosis, posterior epidural hemorrhagic extension, and marked canal compromise. The retrospective Spinal Instability Neoplastic Score was 15/18. After preoperative embolization, a T12 and superior L1 laminectomy/decompression was performed, and the hematoma was removed. Gross T11-L1 instability was noted intraoperatively, thus warranting simultaneous T10-L2 fusion plus open T12 cement augmentation. Postoperatively, strength normalized within 1 week, and 2 years later, she remained pain-free and neurologically intact without radiological progression or recurrence.Conclusion\n\nIn this postpartum case, pathological collapse and instability accompanied hemorrhagic progression of an aggressive VH. When instability is evident, simultaneous stabilization should be considered along with decompression.",
  "abstract_shown": true,
  "affiliations": [
    "Department of Neurosurgery, Istanbul University Cerrahpasa Medical Faculty, Istanbul, Turkey."
  ],
  "article_type": "case report",
  "arxiv": null,
  "author_total": 4,
  "authors": [
    {
      "affs": [
        0
      ],
      "name": "Huseyin Mert Cerci"
    },
    {
      "affs": [
        0
      ],
      "name": "Tufan Ay"
    },
    {
      "affs": [
        0
      ],
      "name": "Semih Can Çetintaş"
    },
    {
      "affs": [
        0
      ],
      "name": "Mustafa Onur Ulu"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/80mne53frhc36.bib",
  "cited_by": 0,
  "doi": "10.25259/sni_1167_2026",
  "fulltext_url": "https://europepmc.org/articles/PMC13726978",
  "id": "80mne53frhc36",
  "issns": [
    "2229-5097",
    "2152-7806"
  ],
  "landing_url": "https://europepmc.org/article/MED/42974333",
  "language": "eng",
  "licence": "CC-BY-NC-SA",
  "licence_label": "CC BY-NC-SA",
  "licence_source": "article",
  "licence_url": "https://creativecommons.org/licenses/by-nc-sa/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "heading",
      "Case Report"
    ],
    [
      "openalex",
      "2746|Vascular Malformations and Hemangiomas"
    ]
  ],
  "openalex": "W7223344176",
  "pdf_url": "https://europepmc.org/articles/PMC13726978?pdf=render",
  "pmcid": "PMC13726978",
  "pmid": "42974333",
  "published": "2026-10-23",
  "publisher": "Scientific Scholar",
  "ris": "https://research.draconitic.com/paper/80mne53frhc36.ris",
  "sources": [
    {
      "first_seen": "2026-11-04T15:20:48Z",
      "native_id": "MED:42974333",
      "source": "europepmc",
      "url": "https://europepmc.org/article/MED/42974333"
    },
    {
      "first_seen": "2026-11-05T12:23:11Z",
      "native_id": "PMC13726978",
      "source": "pmc",
      "url": "https://doi.org/10.25259/sni_1167_2026"
    }
  ],
  "subjects": [
    {
      "field": "medicine",
      "origin": "openalex:2746|Vascular Malformations and Hemangiomas",
      "subfield": "surgery"
    }
  ],
  "title": "Postpartum hemorrhagic vertebral hemangioma with pathological vertebral fracture: A case report highlighting spinal instability as a potential mechanical cofactor.",
  "title_text": "Postpartum hemorrhagic vertebral hemangioma with pathological vertebral fracture: A case report highlighting spinal instability as a potential mechanical cofactor.",
  "type": "peer-reviewed",
  "updated_at": "2026-11-06T12:22:47Z",
  "url": "https://research.draconitic.com/paper/80mne53frhc36",
  "venue": "Surgical neurology international",
  "versions": []
}