{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,11]],"date-time":"2026-02-11T14:09:21Z","timestamp":1770818961735,"version":"3.50.1"},"reference-count":5,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2025,12,1]],"date-time":"2025-12-01T00:00:00Z","timestamp":1764547200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2025,12,5]],"date-time":"2025-12-05T00:00:00Z","timestamp":1764892800000},"content-version":"vor","delay-in-days":4,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Childs Nerv Syst"],"published-print":{"date-parts":[[2025,12]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>The authors report a case of a 12-year-old girl who presented for neurosurgical evaluation one month after sustaining a ballistic injury to the anterior left side of her neck from a pellet gun accidental firing. Immediately following the misfire, the patient experienced pain in the left side of her neck that radiated to her shoulder, down her posterior arm, and to her middle fingers on the left hand. Subsequently, the patient experienced lingering numbness and developed progressive weakness in her left arm. The patient denied trouble swallowing or any other deficits. Radiographic studies of the cervical spine revealed a ballistic fragment lodged in the C6\u20137 left foramen, and surgical removal was offered considering debilitating neurological deficits and pain. Preoperative imaging including cervical x-rays and CT of the neck were obtained. A posterior left-sided C6\u2013C7 minimally invasive tubular hemilamino-foraminotomy was performed. The projectile was successfully retrieved, and the C7 nerve root was decompressed and preserved.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Observations<\/jats:title>\n                    <jats:p>Postoperatively, the patient regained normal strength and function of the left hand and continues to report satisfaction with the surgical outcome.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Lessons<\/jats:title>\n                    <jats:p>This case presentation highlights the surgical management of a C7 radiculopathy due to a retained foreign body in a pediatric patient from a pellet gun accident. It highlights the importance of careful preoperative planning to determine the safest, most efficient, and minimally invasive surgical approach.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s00381-025-07068-w","type":"journal-article","created":{"date-parts":[[2025,12,5]],"date-time":"2025-12-05T21:47:31Z","timestamp":1764971251000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Minimally invasive approach to cervical intraspinal air gun pellet in a pediatric patient"],"prefix":"10.1007","volume":"41","author":[{"given":"Olivia F.","family":"Patch","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"John H.","family":"Wilkinson","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joaquin A.","family":"Hidalgo","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2025,12,5]]},"reference":[{"issue":"4","key":"7068_CR1","doi-asserted-by":"publisher","first-page":"331","DOI":"10.1016\/S0090-3019(96)00357-6","volume":"47","author":"A Amirjamshidi","year":"1997","unstructured":"Amirjamshidi A, Abbassioun K, Roosbeh H (1997) Air-gun pellet injuries to the head and neck. Surg Neurol 47(4):331\u2013338","journal-title":"Surg Neurol"},{"key":"7068_CR2","doi-asserted-by":"publisher","first-page":"657","DOI":"10.1007\/s003830100018","volume":"17","author":"J Mart\u00ednez-Lage","year":"2001","unstructured":"Mart\u00ednez-Lage J, Mesones J, Gilabert A (2001) Air-gun pellet injuries to the head and neck in children. Pediatr Surg Int 17:657\u2013660. https:\/\/doi.org\/10.1007\/s003830100018","journal-title":"Pediatr Surg Int"},{"issue":"3","key":"7068_CR3","doi-asserted-by":"publisher","first-page":"375","DOI":"10.21037\/jss-23-42","volume":"9","author":"NI Alromaih","year":"2023","unstructured":"Alromaih NI, Alharbi HN, Altwaijri NA, Surur SR (2023) Air-gun pellet at C1: a case report and literature review. J Spine Surg 9(3):375\u2013379","journal-title":"J Spine Surg"},{"issue":"20","key":"7068_CR4","doi-asserted-by":"publisher","first-page":"1545","DOI":"10.1097\/BRS.0000000000002353","volume":"42","author":"J Rainville","year":"2017","unstructured":"Rainville J, Joyce AA, Laxer E, Pena E, Kim D, Milam RA, Carkner E (2017) Comparison of symptoms from C6 and C7 radiculopathy. Spine 42(20):1545\u20131551. https:\/\/doi.org\/10.1097\/BRS.0000000000002353","journal-title":"Spine"},{"issue":"3","key":"7068_CR5","doi-asserted-by":"publisher","first-page":"286","DOI":"10.1097\/00007632-200002010-00005","volume":"25","author":"N Tanaka","year":"2000","unstructured":"Tanaka N, MD, Fujimoto Y, MD, PhD*, An HS, MD, Ikuta Y, MD, PhD, Yasuda M, MD, PhD (2000) The anatomic relation among the nerve roots, intervertebral foramina, and intervertebral discs of the cervical spine. Spine 25(3):286\u2013291","journal-title":"Spine"}],"container-title":["Child's Nervous System"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00381-025-07068-w.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00381-025-07068-w","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00381-025-07068-w.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,2,11]],"date-time":"2026-02-11T13:16:43Z","timestamp":1770815803000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s00381-025-07068-w"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,12]]},"references-count":5,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2025,12]]}},"alternative-id":["7068"],"URL":"https:\/\/doi.org\/10.1007\/s00381-025-07068-w","relation":{},"ISSN":["0256-7040","1433-0350"],"issn-type":[{"value":"0256-7040","type":"print"},{"value":"1433-0350","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,12]]},"assertion":[{"value":"14 August 2025","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"23 November 2025","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"5 December 2025","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"Consent was obtained from the patient\u2019s guardian.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval"}},{"value":"The authors declare no competing interests.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"404"}}