The back-and-forth tilt featured both teams trading blows over the last two minutes. Eric Gordon's driving layup tied the game at 95-95 with 1:45 to play, but Bobby Simmons connected on a mid-range jumper moments later to give the Spurs the lead.
Randy Foye made one free throw after San Antonio's George Hill was whistled for a technical foul, but Gordon missed two free throws that could have given the Clippers the lead. Chris Kaman did convert with 25.8 seconds remaining, giving Los Angeles a one-point lead, 98-97, and after Neal missed a trey, Ryan Gomes connected on 1-of-2 free throws with 10.3 ticks left.
The Spurs called timeout with just over eight seconds left and drew up the winning play for Neal, who made his first shot in four attempts.
DeJuan Blair led the Spurs with 21 points and six rebounds, while Tim Duncan recorded a double-double with 17 points and 13 rebounds. Curtis Jerrells chipped in with 11 points off the bench for San Antonio.
Gordon led all scorers with 23 points on 6-of-14 shooting, Kaman posted a double-double with 14 points and 12 rebounds and Blake Griffin added 13 points and 17 rebounds in defeat. Rasual Butler had 20 points, going 6-of-10 from beyond the arc.
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