Bottom-to-top: A case report for treating esophageal cervical spondylosis with giant osteophytes

The "bottom-to-top" technique is effective for safely resecting large, adherent osteophytes in esophageal cervical spondylosis, reducing intraoperative esophageal injury and maintaining functional improvement. Long-term monitoring is essential due to the possibility of anatomical recurrence. This approach holds promise for similar challenging cases, though further studies are needed to optimize rehabilitation and prevent recurrence.