Endoscopic extruded screw removal after anterior cervical disc fusion: technical case report
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Updated: Sep 26, 2026

Cone Beam Intraoperative Computed Tomography-based Image Guidance for Minimally Invasive Transforaminal Interbody Fusion
Published on: August 6, 2019
Wha-Joon Lee1, Jonas M Sheehan, Brendan C Stack
1Division of Otolaryngology, Penn State University College of Medicine, Hershey Medical Center, Hershey, Pennsylvania, USA.
Objective And Importance:
Symptomatic complications related to screw migration and extrusion after anterior cervical disc fusion are uncommon.
Clinical Presentation:
We report a case of significant dysphagia owing to late screw migration.
Intervention:
An endoscopic transpharyngeal removal was performed without pharyngeal closure and with relief of symptoms.
Conclusion:
A transpharyngeal endoscopic approach to remove loose anterior cervical hardware is feasible and warrants further evaluation.

