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Unilateral Biportal Endoscopic Discectomy for Adjacent Segment C7-D1 Disk with O-Arm Navigation: A Unique Case Report
Shailesh Hadgaonkar1, Bhushan Balvantrao Patil, Parag K Sancheti
1Sancheti Institute For Orthopedics And Rehabilitation, Pune, Maharashtra, India.
Case:
43-year-old man with an adjacent segment C7-D1 left paracentral and foraminal disk and left-hand grip weakness underwent unilateral biportal endoscopic discectomy with O-arm navigation. The patient underwent C5-6 and C6-7 anterior cervical discectomy and fusion (ACDF) 10 years ago and was asymptomatic for nearly 10 years.
Conclusion:
In revision of the cervical spine with a short neck, cervicothoracic junctional disks can be precisely located using O-arm navigation and effectively removed with a minimally invasive unilateral biportal endoscopy approach.

