I've had this happen fairly regularly with oncid spikes, and a couple of times with phal spikes. Surgery sometimes works, sometimes ends in disaster, so nothing is perfectly reliable. Sometimes if you lose the tip the spike resumes growing from a lower node. (Sometimes not)
However, I would have nipped one side of the leaf it was growing thru, and then wedged a tiny piece of cardboard against it, just to push it maybe 1/4" or even less in a slightly more upright direction. Veddy gently, of course.
Maybe a week later, a slightly thicker piece of cardboard or shred of foam peanut. Repeat a couple more times til the spike is growing more upright and outside of the hole in the leaf.
But as I said, intervention doesn't always work. Of course without intervention the spike would be ruined anyway, so you're in a can't lose position.