ArticleSurgical neurology international2026
A case of transvertebral anterior cervical foraminotomy for radiculopathy caused by cage subsidence.
Article in Surgical neurology international, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background: 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). Case Description: 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. Conclusion: Bilateral C5/6 TVACF successfully addressed ACDF cage subsidence and resulted in marked improvement in a patient's new progressive bilateral postoperative C6 radiculopathy.
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