{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,22]],"date-time":"2026-05-22T07:07:14Z","timestamp":1779433634861,"version":"3.53.1"},"reference-count":9,"publisher":"Scientific Scholar","content-domain":{"domain":["surgicalneurologyint.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"\n Background:<\/jats:title>\n Cage subsidence is a complication of anterior cervical discectomy and fusion (ACDF). Here, we present a case in which radiculopathy caused by cage subsidence was improved by transvertebral anterior cervical foraminotomy (TVACF).<\/jats:p>\n <\/jats:sec>\n \n Case Description:<\/jats:title>\n A 57-year-old male underwent an ACDF for cervical spondylotic myelopathy at the C5\/ C6 level. Postoperatively, although the preoperative abnormal sensations improved, he developed increasing new paresthesia bilaterally in the C6 dermatome distribution. X-rays, 7 months postoperatively, revealed cage subsidence 8 mm into the superior and inferior endplates that resulted in progressive C5\/6 intervertebral foraminal stenosis. He underwent a bilateral TVACF with improvement in his bilateral C6 radicular complaints.<\/jats:p>\n <\/jats:sec>\n \n Conclusion:<\/jats:title>\n Bilateral C5\/6 TVACF successfully addressed ACDF cage subsidence and resulted in marked improvement in a patient\u2019s new progressive bilateral postoperative C6 radiculopathy.<\/jats:p>\n <\/jats:sec>","DOI":"10.25259\/sni_376_2026","type":"journal-article","created":{"date-parts":[[2026,5,22]],"date-time":"2026-05-22T06:29:51Z","timestamp":1779431391000},"page":"299","update-policy":"https:\/\/doi.org\/10.25259\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["A case of transvertebral anterior cervical foraminotomy for radiculopathy caused by cage subsidence"],"prefix":"10.25259","volume":"17","author":[{"given":"Takuma","family":"Takano","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Genki","family":"Uemori","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Manabu","family":"Kinoshita","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"10894","published-online":{"date-parts":[[2026,5,22]]},"reference":[{"key":"10.25259\/SNI_376_2026\/ref-1","doi-asserted-by":"crossref","first-page":"e516","DOI":"10.1016\/j.wneu.2022.12.053","article-title":"Comparative study of anterior transvertebral foraminotomy and anterior cervical discectomy and fusion for unilateral cervical spondylotic radiculopathy","volume":"171","author":"Akahori","year":"2023","journal-title":"World Neurosurg"},{"key":"10.25259\/SNI_376_2026\/ref-2","doi-asserted-by":"crossref","first-page":"1339","DOI":"10.1097\/BRS.0000000000003081","article-title":"Comparison of anterior cervical foraminotomy and posterior cervical foraminotomy for treating single level unilateral cervical radiculopathy","volume":"44","author":"Kim","year":"2019","journal-title":"Spine (Phila Pa 1976)"},{"key":"10.25259\/SNI_376_2026\/ref-3","doi-asserted-by":"crossref","first-page":"109","DOI":"10.1007\/s10143-025-04028-5","article-title":"Risk factors for cage subsidence in patients undergoing cervical fusion: A systematic review and meta-analysis","volume":"49","author":"Luo","year":"2026","journal-title":"Neurosurg Rev"},{"key":"10.25259\/SNI_376_2026\/ref-4","doi-asserted-by":"crossref","first-page":"2824","DOI":"10.3889\/oamjms.2019.631","article-title":"Long-term results of multiple anterior cervical discectomy with cage fusion technique: Results of multiple centre study","volume":"7","author":"Mostafa","year":"2019","journal-title":"Open Access Maced J Med Sci"},{"key":"10.25259\/SNI_376_2026\/ref-5","doi-asserted-by":"crossref","first-page":"248","DOI":"10.1007\/s10143-026-04184-2","article-title":"Interbody cage subsidence after ACDF: A predictor of non-union and neck pain despite normal bone mineral density","volume":"49","author":"Niedermeyer","year":"2026","journal-title":"Neurosurg Rev"},{"key":"10.25259\/SNI_376_2026\/ref-6","doi-asserted-by":"crossref","first-page":"692","DOI":"10.1097\/BRS.0b013e318199690a","article-title":"Two-level anterior cervical discectomy versus one-level corpectomy in cervical spondylotic myelopathy","volume":"34","author":"Oh","year":"2009","journal-title":"Spine (Phila Pa 1976)"},{"key":"10.25259\/SNI_376_2026\/ref-7","doi-asserted-by":"crossref","first-page":"631","DOI":"10.3171\/2023.1.SPINE221244","article-title":"Anterior cervical discectomy and fusion versus posterior decompression in patients with degenerative cervical myelopathy: A systematic review and meta-analysis","volume":"38","author":"Sattari","year":"2023","journal-title":"J Neurosurg Spine"},{"key":"10.25259\/SNI_376_2026\/ref-8","doi-asserted-by":"crossref","first-page":"2884","DOI":"10.1007\/s00586-013-2974-3","article-title":"Transvertebral anterior cervical foraminotomy: Midterm outcomes of clinical and radiological assessments including the finite element method","volume":"22","author":"Umebayashi","year":"2013","journal-title":"Eur Spine J"},{"key":"10.25259\/SNI_376_2026\/ref-9","doi-asserted-by":"crossref","first-page":"124","DOI":"10.2176\/nmc.oa.2017-0196","article-title":"Hybrid method of transvertebral foraminotomy combined with anterior cervical decompression and fusion for multilevel cervical disease","volume":"58","author":"Yamamoto","year":"2018","journal-title":"Neurol Med Chir (Tokyo)"}],"container-title":["Surgical Neurology International"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/surgicalneurologyint.com\/a-case-of-transvertebral-anterior-cervical-foraminotomy-for-radiculopathy-caused-by-cage-subsidence\/","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/surgicalneurologyint.com\/surgicalint-articles\/a-case-of-transvertebral-anterior-cervical-foraminotomy-for-radiculopathy-caused-by-cage-subsidence\/","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,22]],"date-time":"2026-05-22T06:29:53Z","timestamp":1779431393000},"score":1,"resource":{"primary":{"URL":"http:\/\/surgicalneurologyint.com\/surgicalint-articles\/a-case-of-transvertebral-anterior-cervical-foraminotomy-for-radiculopathy-caused-by-cage-subsidence\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,5,22]]},"references-count":9,"alternative-id":["10.25259\/SNI_376_2026"],"URL":"https:\/\/doi.org\/10.25259\/sni_376_2026","relation":{},"ISSN":["2152-7806","2229-5097"],"issn-type":[{"value":"2152-7806","type":"electronic"},{"value":"2229-5097","type":"print"}],"subject":[],"published":{"date-parts":[[2026,5,22]]},"article-number":"299"}}