{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,24]],"date-time":"2026-01-24T16:56:50Z","timestamp":1769273810381,"version":"3.49.0"},"reference-count":12,"publisher":"Scientific Scholar","content-domain":{"domain":["surgicalneurologyint.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"\nBackground<\/jats:title>\nHighly migrated cervical disc herniations are rare, and the optimal surgical approach remains uncertain. When located in the median or paramedian position, anterior cervical discectomy and fusion or anterior cervical corpectomy and fusion are preferentially selected, whereas posterior approaches are often considered for cases with radiculopathy.<\/jats:p>\n<\/jats:sec>\n\nCase Description<\/jats:title>\nA 40-year-old woman presented with right C6 radicular symptoms without any specific triggering event. She initially experienced symptom relief through medication and an ultrasound-guided nerve block 4 years previously. The symptoms recurred 2 months before presentation and did not improve with conservative treatment. Magnetic resonance imaging revealed a paramedian herniation on the right side, migrating downward from the C5\/6-disc level to the inferior border of the pedicle. Posterior endoscopic cervical discectomy (PECD) with partial pediculotomy was performed under general anesthesia with transcranial motor-evoked potential monitoring. The operative time was 56 min. The patient experienced immediate symptom relief, mobilized 3 h postoperatively, and was discharged the following day.<\/jats:p>\n<\/jats:sec>\n\nConclusion<\/jats:title>\nPECD with partial pediculotomy is a minimally invasive and effective option for treating highly down-migrated cervical disc herniation, offering reduced tissue disruption, faster recovery, and excellent clinical outcomes.<\/jats:p>\n<\/jats:sec>","DOI":"10.25259\/sni_990_2024","type":"journal-article","created":{"date-parts":[[2025,2,28]],"date-time":"2025-02-28T07:51:43Z","timestamp":1740729103000},"page":"75","update-policy":"https:\/\/doi.org\/10.25259\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Posterior endoscopic cervical discectomy with partial pediculotomy for management of highly down-migrated cervical disc herniation: A case report"],"prefix":"10.25259","volume":"16","author":[{"given":"Katsuhiko","family":"Ishibashi","sequence":"first","affiliation":[{"name":"Department of Orthopedic, Iwai Orthopaedic Hospital, Tokyo, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kazuyoshi","family":"Yanagisawa","sequence":"additional","affiliation":[{"name":"Department of Orthopedic, Iwai Orthopaedic Hospital, Tokyo, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ryoji","family":"Tominaga","sequence":"additional","affiliation":[{"name":"Department of Orthopedic, Iwai Orthopaedic Hospital, Tokyo, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yasushi","family":"Inomata","sequence":"additional","affiliation":[{"name":"Department of Orthopedic, Iwai Orthopaedic Hospital, Tokyo, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kento","family":"Takebayashi","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Iwai Orthopaedic Hospital, Tokyo, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Takashi","family":"Mizutani","sequence":"additional","affiliation":[{"name":"Department of Orthopedic, Iwai Orthopaedic Hospital, Tokyo, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hiroki","family":"Iwai","sequence":"additional","affiliation":[{"name":"Department of Orthopedic, Iwai Orthopaedic Hospital, Tokyo, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hisashi","family":"Koga","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Iwai Full-Endoscopic Spine Surgery (FESS) Clinic, Tokyo, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"10894","published-online":{"date-parts":[[2025,2,28]]},"reference":[{"key":"10.25259\/SNI_990_2024\/ref-1","doi-asserted-by":"crossref","first-page":"42","DOI":"10.3171\/2009.3.SPINE08161","article-title":"Unusual sequestered disc fragments simulating spinal tumors and other space-occupying lesions. Clinical article","volume":"11","author":"Carvi y Nievas","year":"2009","journal-title":"J Neurosurg Spine"},{"key":"10.25259\/SNI_990_2024\/ref-2","doi-asserted-by":"crossref","first-page":"292","DOI":"10.14245\/kjs.2011.8.4.292","article-title":"Combined anterior approach with transcorporeal herniotomy for a huge migrated cervical disc herniation","volume":"8","author":"Choi","year":"2011","journal-title":"Korean J Spine"},{"key":"10.25259\/SNI_990_2024\/ref-3","doi-asserted-by":"crossref","first-page":"100","DOI":"10.25259\/SNI-191-2019","article-title":"A review of complication rates for anterior cervical diskectomy and fusion (ACDF)","volume":"10","author":"Epstein","year":"2019","journal-title":"Surg Neurol Int"},{"key":"10.25259\/SNI_990_2024\/ref-4","doi-asserted-by":"crossref","first-page":"621","DOI":"10.1016\/j.wneu.2020.10.158","article-title":"Reprint of: Safe route for cervical approach: Partial pediculotomy, partial vertebrotomy approach for posterior endoscopic cervical foraminotomy and discectomy","volume":"145","author":"Kim","year":"2021","journal-title":"World Neurosurg"},{"key":"10.25259\/SNI_990_2024\/ref-5","doi-asserted-by":"crossref","first-page":"148","DOI":"10.1016\/j.wneu.2023.10.021","article-title":"Narrative review of uniportal posterior endoscopic cervical foraminotomy","volume":"181","author":"Kim","year":"2024","journal-title":"World Neurosurg"},{"key":"10.25259\/SNI_990_2024\/ref-6","doi-asserted-by":"crossref","first-page":"873","DOI":"10.1097\/00007632-198611000-00005","article-title":"Epidural migration of extruded cervical disc and its surgical treatment","volume":"11","author":"Manabe","year":"1986","journal-title":"Spine (Phila Pa 1976)"},{"key":"10.25259\/SNI_990_2024\/ref-7","doi-asserted-by":"crossref","first-page":"159","DOI":"10.1007\/s00701-022-05425-1","article-title":"How I do it? Posterior full-endoscopic cervical discectomy with retrocorporeal technique and hemilaminectomy for highly migrated cervical disk herniation","volume":"165","author":"Ou","year":"2023","journal-title":"Acta Neurochir (Wien)"},{"key":"10.25259\/SNI_990_2024\/ref-8","doi-asserted-by":"crossref","first-page":"47","DOI":"10.1016\/j.wneu.2019.08.054","article-title":"Percutaneous full-endoscopic anterior transcorporeal diskectomy for massive migrated cervical disk herniation treatment: Case report and review of the literature","volume":"132","author":"Qiao","year":"2019","journal-title":"World Neurosurg"},{"key":"10.25259\/SNI_990_2024\/ref-9","doi-asserted-by":"crossref","first-page":"389","DOI":"10.1097\/00007632-199702150-00006","article-title":"Intraoperative ultrasound for immediate evaluation of anterior cervical decompression and discectomy","volume":"22","author":"Raynor","year":"1997","journal-title":"Spine (Phila Pa 1976)"},{"key":"10.25259\/SNI_990_2024\/ref-10","doi-asserted-by":"crossref","first-page":"220","DOI":"10.4184\/asj.2011.5.4.220","article-title":"Posterior epidural migration of sequestrated cervical disc fragment: Case series","volume":"5","author":"Srinivasan","year":"2011","journal-title":"Asian Spine J"},{"key":"10.25259\/SNI_990_2024\/ref-11","doi-asserted-by":"crossref","first-page":"709","DOI":"10.1080\/02688697.2017.1348487","article-title":"Anterior discectomy could still be an alternative to corpectomy in highly migrated cervical disc herniation","volume":"31","author":"Wang","year":"2017","journal-title":"Br J Neurosurg"},{"key":"10.25259\/SNI_990_2024\/ref-12","doi-asserted-by":"crossref","first-page":"2625","DOI":"10.1111\/os.13476","article-title":"Minimally invasive full-endoscopic posterior cervical foraminotomy and discectomy: Introducing a simple and useful localization technique of the \u201cV\u201d Point","volume":"14","author":"Zhong","year":"2022","journal-title":"Orthop Surg"}],"container-title":["Surgical Neurology International"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/surgicalneurologyint.com\/posterior-endoscopic-cervical-discectomy-with-partial-pediculotomy-for-management-of-highly-down-migrated-cervical-disc-herniation-a-case-report\/","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/surgicalneurologyint.com\/surgicalint-articles\/posterior-endoscopic-cervical-discectomy-with-partial-pediculotomy-for-management-of-highly-down-migrated-cervical-disc-herniation-a-case-report\/","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,2,28]],"date-time":"2025-02-28T07:51:49Z","timestamp":1740729109000},"score":1,"resource":{"primary":{"URL":"http:\/\/surgicalneurologyint.com\/surgicalint-articles\/posterior-endoscopic-cervical-discectomy-with-partial-pediculotomy-for-management-of-highly-down-migrated-cervical-disc-herniation-a-case-report\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,2,28]]},"references-count":12,"alternative-id":["10.25259\/SNI_990_2024"],"URL":"https:\/\/doi.org\/10.25259\/sni_990_2024","relation":{},"ISSN":["2152-7806","2229-5097"],"issn-type":[{"value":"2152-7806","type":"electronic"},{"value":"2229-5097","type":"print"}],"subject":[],"published":{"date-parts":[[2025,2,28]]},"article-number":"75"}}