Abstract:[Objective] To investigate the clinical outcomes of percutaneous endoscopic along-pedicular decompression for cervical fo- raminal stenosis. [Methods] A retrospective study was conducted on 47 patients who received percutaneous endoscopic along-pedicular de- compression for cervical foraminal stenosis from June 2021 to June 2022. The clinical and imaging results were evaluated. [Results] All the 47 patients were successfully operated on, with the average operation time of (58.8±21.2) min, the average intraoperative blood loss of (17.5±8.2) ml, and the good incision healing. As time went during the follow-up period lasted for (8.2±4.5) months on an average, at the time points preoperatively, next day after operation and the latest follow- up, the visual analogue scale (VAS) of neck and shoulder pain [(5.1±1.4), (0.8±1.2), (0.4±0.7), P＜0.05], VAS score for upper limb pain [(5.1±1.4), (0.5±0.8), (0.2±0.6), P＜0.05], neck disability index (NDI) [(24.9±4.8), (2.4±2.6), (1.2±1.2), P＜0.05] significantly decreased. In terms of imaging, compared with those before surgery, the longi- tudinal foraminal diameter (IFD) [(3.5±1.1) mm, (4.6±1.1) mm, (4.3±2.2) mm, P＜0.05], the middle foraminal diameter r (MFD) [(3.4±1.2) mm, (4.5±1.3) mm, (4.4±2.5) mm, P＜0.05] significantly increased, while the distal foraminal diameter (DFD) and foraminal height (FH) re- mained unchanged the next day after operation and the latest follow-up (P＞0.05). [Conclusion] Endoscopic along-pedicle decompression for cervical foraminal stenosis is safe and reliable, with satisfactory clinical efficacy, and sufficient decompression of the internal and mid- dle foraminal outlets.