Evidence map›Paper›PMID 41657742›Full record

ArticleFrontiers in surgery2025

Uniportal non-coaxial endoscopic posterior cervical discectomy with annular suture repair for C6/C7 disc herniation: a case report.

Yaoyu Xiang, Xin Zhang, Fei Sun, Xianguang Yang, Xidan Hu, Jing Yang, Weiqing Ge, Tao Zhou, Yixiao Wang, En Song

Abstract readCase Reports
In one paragraph

Article in Frontiers in surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Yaoyu XiangDepartment of Sports Medicine, First Affiliated Hospital of Kunming Medical University, Kunming, Yunnan, China.
Xin ZhangDepartment of Orthopedics, Kunming Orthopedics Hospital, Kunming, Yunnan, China.
Fei SunDepartment of Orthopedics, Traditional Chinese Medicine Hospital of Luliang County, Qujing, Yunnan, China.
Xianguang YangDepartment of Sports Medicine, First Affiliated Hospital of Kunming Medical University, Kunming, Yunnan, China.
Xidan HuClinical Pharmacy Center, First Affiliated Hospital of Kunming Medical University, Kunming, Yunnan, China.
Jing YangDepartment of Sports Medicine, First Affiliated Hospital of Kunming Medical University, Kunming, Yunnan, China.
Weiqing GeDepartment of Sports Medicine, First Affiliated Hospital of Kunming Medical University, Kunming, Yunnan, China.
Tao ZhouDepartment of Sports Medicine, First Affiliated Hospital of Kunming Medical University, Kunming, Yunnan, China.
Yixiao WangDepartment of Sports Medicine, First Affiliated Hospital of Kunming Medical University, Kunming, Yunnan, China.
En SongDepartment of Sports Medicine, First Affiliated Hospital of Kunming Medical University, Kunming, Yunnan, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Cervical disc herniation with radiculopathy is a common cause of neck and arm pain. While anterior cervical discectomy and fusion (ACDF) remains the standard treatment, it sacrifices motion and may cause adjacent segment degeneration. Uniportal non-coaxial spinal endoscopic surgery (UNSES) offers a motion-preserving alternative. This case presents the first application of UNSES with endoscopic annular suture repair and ligamentum flavum suspension in the cervical spine, demonstrating its technical feasibility. Case presentation: A 54-year-old male presented with progressive neck and right right arm pain, numbness and triceps weakness, due to right paracentral C6/C7 disc herniation compressing the C7 nerve root. The patient underwent full-endoscopic posterior cervical discectomy using a uniportal non-coaxial endoscopic system, with ligamentum flavum preservation via suture suspension. The annular defect was repaired intraoperatively using an endoscopic annular suture device under direct visualization. Postoperative imaging confirmed complete neural decompression and successful annular closure without residual disc or dural compromise. Postoperative MRI confirmed complete decompression and annular closure. At 3 months, visual analog scale (VAS) improved from 7 to 1, the Japanese Orthopaedic Association (JOA) score increased from 13 to 16, and the Neck Disability Index (NDI) decreased from 42% to 14%, with no recurrence or instability. Conclusions: UNSES combined with annular suture repair enables safe, motion-preserving decompression for cervical disc herniation. This novel approach may enhance biomechanical integrity, reduce recurrence, and represent a minimally invasive alternative to fusion in selected patients.

Indexed as

annular repaircervical radiculopathyendoscopic discectomyligamentum flavum preservationminimally invasive spine surgerynon-coaxial endoscopyuniportal spinal endoscopy

Identifiers

PMID41657742
PMCPMC12872809

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.