Case Review #9: 40 year old female treated with a Bryan Cervical Disc

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A 40 year old female presented with a C5/6 disc herniation. Dr. Pashman treated the patient with an anterior cervical discectomy and a Bryan Cervical Disc.

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Case Review #9: 40 year old female treated with a Bryan Cervical Disc

  1. 1. Case Review:Bryan Artificial Cervical DiscRobert S Pashman, MDScoliosis and Spinal Deformity Surgerywww.eSpine.com
  2. 2. Patient History40-year-old femalePatient has arm pain andneck painFailed conservativetherapyMRI shows severe nerve Disc herniation with spinal cord compressioncompression, cordcompression due to discherniation C5-6.
  3. 3. Pre-op X-rays
  4. 4. Flexion/Extension X-rays
  5. 5. Pre-OP CT Scan A CT Scan is performed to check the facet joints and to pick the appropriate size artificial disc prior to surgery.
  6. 6. Indications for SurgeryDegenerative joint diseaseDisc herniation at C5-6.Spinal cord compressionRadiculopathy of C6 distribution in arms bilaterally.Failure of conservative therapy with neck and arm pain.
  7. 7. Surgical StrategyRadically anterior cervical discectomy for removal ofspinal cord decompression with microscope C5-6.Bilateral nerve foraminotomy C5-6 under themicroscope.Anterior interbody device placement with Bryan cervicaldisc arthroplasty under Investigational DeviceExemption, C5-6 measuring 16 mm.Intraoperative somatosensory evoked potential.Intraoperative fluoroscopy.
  8. 8. Post-Op Films
  9. 9. Post-Op Flexion & Extension Films
  10. 10. Post-Op FilmsL R
  11. 11. Pre-Op/Post-op Comparison
  12. 12. Pre-Op/Post-op Comparison
  13. 13. Pre-Op/Post-op Comparison
  14. 14. Pre-Op/Post-op Comparison

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