{"id":"aba86c37-cebe-43bb-be7b-94ed3b472977","slug":"a-case-of-transvertebral-anterior-cervical-foraminotomy-for-radiculopathy-caused-by-cage-subsidence","title":"A case of transvertebral anterior cervical foraminotomy for radiculopathy caused by cage subsidence","authors":["Takuma Takano","Genki Uemori","Manabu Kinoshita"],"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.","thumbnailUrl":"https://sni-digital-videos.s3.amazonaws.com/articles/aba86c37-cebe-43bb-be7b-94ed3b472977/featured/hero-1781557476875.png","publishDate":"2026-05-22T00:00:00.000Z","doi":"10.25259/SNI_376_2026","categories":["Spine","Case Report"],"fullTextUrl":"https://surgicalneurologyint.com/wp-content/uploads/2026/05/14569/SNI-17-299.pdf"}