{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T14:49:57Z","timestamp":1787755797243,"version":"build-2784847793"},"reference-count":7,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"4","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:sec>\n                    <jats:title>Case:<\/jats:title>\n                    <jats:p>A 63-year-old man presented with progressive lower limb stiffness, weakness, and imbalance. Examination indicated thoracic myelopathy. Magnetic resonance imaging (MRI) and computed tomography (CT) revealed a left paracentral calcified disk-osteophyte complex at D10-D11 with cord edema. Navigation-assisted biportal endoscopic decompression with percutaneous stabilization was performed using the O-arm system. The patient regained mobility within 24 hours and had complete symptom resolution at 6 months.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>In complex thoracic pathologies, real-time navigation enhances the safety and accuracy of biportal endoscopy, allowing effective decompression and instrumentation with minimal invasiveness\u2014highlighting its value in managing symptomatic thoracic disk herniations.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2106\/jbjs.cc.25.00324","type":"journal-article","created":{"date-parts":[[2025,10,24]],"date-time":"2025-10-24T18:00:18Z","timestamp":1761328818000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":1,"title":["Targeted Navigation-Guided Biportal Endoscopy for Thoracic Myelopathy Due to Disk-Osteophyte"],"prefix":"10.2106","volume":"15","author":[{"given":"Shailesh","family":"Hadgaonkar","sequence":"first","affiliation":[{"name":"Department of Spine Surgery, Sancheti Institute for Orthopaedics and Rehabilitation, Pune, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4906-0568","authenticated-orcid":false,"given":"Sameer","family":"Nagpal","sequence":"additional","affiliation":[{"name":"Department of Spine Surgery, Sancheti Institute for Orthopaedics and Rehabilitation, Pune, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8903-1430","authenticated-orcid":false,"given":"Parag","family":"Sancheti","sequence":"additional","affiliation":[{"name":"Department of Spine Surgery, Sancheti Institute for Orthopaedics and Rehabilitation, Pune, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2025,10]]},"reference":[{"issue":"2","key":"bib1-20251024","doi-asserted-by":"crossref","first-page":"438","DOI":"10.21037\/jss.2020.03.08","article-title":"Unilateral biportal endoscopic decompression for degenerative lumbar canal stenosis","volume":"6","author":"Pao","year":"2020","journal-title":"J Spine Surg."},{"issue":"2","key":"bib2-20251024","doi-asserted-by":"crossref","first-page":"311","DOI":"10.31616\/asj.2025.0064","article-title":"The unilateral biportal endoscopy journey: proposing a 10-tier difficulty progression framework for unilateral biportal endoscopy","volume":"19","author":"Espinoza","year":"2025","journal-title":"Asian Spine J."},{"key":"bib3-20251024","doi-asserted-by":"crossref","first-page":"1295","DOI":"10.2147\/CIA.S417462","article-title":"Unilateral Bi\/multi-portal endoscopy for the treatment of complicated lumbar degenerative diseases with utilization of uniaxial spinal endoscope, instead of arthroscope: technique note and clinical results","volume":"18","author":"Yang","year":"2023","journal-title":"Clin Interv Aging."},{"issue":"1","key":"bib4-20251024","doi-asserted-by":"crossref","first-page":"43","DOI":"10.14245\/ns.2346236.118","article-title":"The role and future of endoscopic spine surgery: a narrative review","volume":"20","author":"Kwon","year":"2023","journal-title":"Neurospine."},{"issue":"6","key":"bib5-20251024","doi-asserted-by":"crossref","first-page":"506","DOI":"10.1177\/2192568217694140","article-title":"Management of thoracic disc herniations via posterior unilateral modified transfacet pedicle-sparing decompression with segmental instrumentation and interbody fusion","volume":"7","author":"Carr","year":"2017","journal-title":"Glob Spine J."},{"issue":"26 suppl","key":"bib6-20251024","doi-asserted-by":"crossref","first-page":"S347","DOI":"10.1097\/BRS.0b013e3182022d0f","article-title":"Minimally 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Report"],"short-title":[],"issued":{"date-parts":[[2025,10]]},"references-count":7,"journal-issue":{"issue":"4","published-online":{"date-parts":[[2025]]}},"URL":"https:\/\/doi.org\/10.2106\/jbjs.cc.25.00324","relation":{},"ISSN":["2160-3251"],"issn-type":[{"value":"2160-3251","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,10]]}}}