{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T16:56:05Z","timestamp":1753894565039,"version":"3.41.2"},"reference-count":9,"publisher":"Surgical Technology Online","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Surg Technol Int."],"abstract":"<jats:p>Introduction: There is a steep learning curve for a successful posterior endoscopic cervical foraminotomy and discectomy (PECFD), an important surgery for cervical foraminal or lateral disc herniation, and cervical radiculopathy due to a small operation field. PECFD becomes even more challenging in patients who have prominent shoulders and\/or short necks with C6\u20137-disc herniation, because of the difficulty to localize C6\u20137 vertebral structure under fluoroscopy. \nThe study objective is to prove that the PECFD can be performed safely and successfully to C6\u20137-disc herniation on patients with prominent shoulders and\/or short necks following our novel surgical techniques under fluoroscopic guidance. \nMaterials and Methods: PECFD was performed on a patient who had an extruded foraminal disc herniation at C6\u20137 on the left with left arm pain and weakness. Due to his prominent shoulders and a short neck, the C6\u20137 anatomic site was not visible under traditional anterior-posterior (AP) and lateral fluoroscopic views. The authors inserted a reference needle to C4\u20135 facets between C4 and C5 pedicles under AP and lateral fluoroscopic views. Following the reference needle, the C6\u20137 facets were easily located with an oblique fluoroscopic view. A large endoscopic cannula was used initially for adequate resection of C6\u20137 facets, followed by a small cannula for nerve root handling with minimal pressure and discectomy. \nResults: The novel surgical techniques resulted in a complete resection of the C6\u20137-disc herniation and resolution of the patient\u2019s radiculopathy with no postoperative complications.  \nConclusion: PECFD can be safely and successfully applied for C6\u20137-disc herniation in patients with prominent shoulders and\/or short necks using our novel surgical techniques.<\/jats:p>","DOI":"10.52198\/21.sti.38.ns1402","type":"journal-article","created":{"date-parts":[[2021,3,24]],"date-time":"2021-03-24T11:21:12Z","timestamp":1616584872000},"source":"Crossref","is-referenced-by-count":0,"title":["Surgical Techniques Ensuring Success in Posterior Endoscopic Cervical Foraminotomy and Discectomy at  C6-7 in Patients with Prominent Shoulders and Short Necks"],"prefix":"10.52198","author":[{"given":"Kaixuan","family":"Liu","sequence":"first","affiliation":[{"name":"Department of Spine Surgery, Atlantic Spine Center West Orange, New Jersey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Praveen","family":"Kadimcherla","sequence":"additional","affiliation":[{"name":"Department of Spine Surgery, Atlantic Spine Center West Orange, New Jersey"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"18996","published-online":{"date-parts":[[2021,3,3]]},"reference":[{"key":"ref0","doi-asserted-by":"crossref","unstructured":"1. Carette S, Fehlings MG. Cervical radiculopathy. N Engl J Med 2005;353:392\u20139.","DOI":"10.1056\/NEJMcp043887"},{"key":"ref1","doi-asserted-by":"publisher","unstructured":"2. Radhakrishnan K, Litchy WJ, O\u2019Fallon WM, et al. Epidemiology of cervical radiculopathy. A population-based study from Rochester, Minnesota, 1976 through 1990. Brain 1994;117 (Pt 2):325\u201335.","DOI":"10.1093\/brain\/117.2.325"},{"key":"ref2","doi-asserted-by":"publisher","unstructured":"3. Sasso RC, Smucker JD, Hacker RJ, et al. Artificial disc versus fusion: a prospective, randomized study with 2-year follow up on 99 patients. Spine 2007; 32(26):2933\u2013940.","DOI":"10.1097\/brs.0b013e31815d0034"},{"key":"ref3","doi-asserted-by":"publisher","unstructured":"4. Verma K, Gandhi SD, Maltenfort M, et al. Rate of adjacent segment disease in cervical disc arthroplasty versus single-level fusion: meta-analysis of prospective studies. 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J Bone Joint Surg Am 1992;74(1):22\u20137.","DOI":"10.2106\/00004623-199274010-00004"},{"key":"ref7","doi-asserted-by":"publisher","unstructured":"8.  Zdeblick TA, Abitbol JJ, Kunz DN, et al. Cervical stability after sequential capsule resection. Spine (Phila Pa 1976) 1993;18(14):2005\u20138.","DOI":"10.1097\/00007632-199310001-00013"},{"key":"ref8","doi-asserted-by":"publisher","unstructured":"9. Zhang C, Wu J, Xu C, et al. Minimally invasive full-endoscopic posterior cervical foraminotomy assisted by O-Arm-based navigation. Pain Physician 2018;21(3) E215\u201323.","DOI":"10.36076\/ppj.2018.3.e217"}],"container-title":["Surgical Technology Online"],"original-title":[],"language":"en","deposited":{"date-parts":[[2021,3,24]],"date-time":"2021-03-24T11:21:22Z","timestamp":1616584882000},"score":1,"resource":{"primary":{"URL":"https:\/\/surgicaltechnology.com\/38-Neuro-and-Spine-Surgery.htm#1402"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,3,3]]},"references-count":9,"URL":"https:\/\/doi.org\/10.52198\/21.sti.38.ns1402","archive":["CLOCKSS"],"relation":{},"ISSN":["1090-3941"],"issn-type":[{"type":"print","value":"1090-3941"}],"subject":[],"published":{"date-parts":[[2021,3,3]]},"article-number":"PMID: 33656743"}}