Case Review #1: Cervical Spine Surgery with Prestige Disc

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A 42 year old male presented with a C5/6 disc herniation, severe neck and arm pain. Dr. Pashman treated him with an anterior cervical discectomy and Prestige artificial disc replacement.

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Case Review #1: Cervical Spine Surgery with Prestige Disc

  1. 1. Case Review:Prestige Cervical DiscReplacement at C5/6Robert S Pashman, MDScoliosis and Spinal Deformity Surgerywww.eSpine.com
  2. 2. Patient History42 year old male.Severe right shoulder and arm pain going to the thumb inthe C6 distribution.C5/6 disc hernation found on MRI.Progressive pain, and arm weakness.The patient has a long history of sports related injuries.The patient has tried various holistic and conservativemanagement treatments, including physical therapy,medicines for his neck and arm pain.
  3. 3. Pre-op X-rays
  4. 4. Flexion & Extension X-rays
  5. 5. Indications for SurgerySevere degenerative disk disease C5-C6.Right shoulder and arm pain, numb to C6 distribution,right-hand side.Disk degeneration and spinal cord and neural foraminalstenosis due to hard and soft disk C5-C6.Failed conservative therapy.Motor sensory deficit with biceps weakness, right arm.
  6. 6. Surgical StrategyRadical diskectomy C5-C6.Subtotal vertebrectomy with removal of 1/3 vertebra,anterior osteophyte, posterior uncal vertebral osteophyteC5-C6 with epidural and neural foraminaldecompression.Interbody device C5-C6 with a Prestige 7 x 16 mmarticulated total disk replacement.Intraoperative somatosensory evoked potentials.Intraoperative fluoroscopy.
  7. 7. Post-Op FilmsThe patient has some residual neck pain, but has been released for fullactivity and may take anti-inflammatory medication as needed.
  8. 8. Post-Op Films
  9. 9. Pre-Op/Post-op Comparison
  10. 10. Pre-Op/Post-op Comparison
  11. 11. Pre-Op/Post-op Comparison
  12. 12. Pre-Op/Post-op Comparison

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