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Case Review #7: 51 year old female with Prestige Cervical Disc Replacement
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Case Review #7: 51 year old female with Prestige Cervical Disc Replacement

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51 year old female with a C5/6 disc herniation. traveled to Los Angeles from Vietnam for treatment. Dr. Pashman performed an anterior cervical discectomy and placed a Prestige Artificial Disc.

51 year old female with a C5/6 disc herniation. traveled to Los Angeles from Vietnam for treatment. Dr. Pashman performed an anterior cervical discectomy and placed a Prestige Artificial Disc.

Published in: Health & Medicine, Technology
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  • 1. Case Review:51 year old female withdegenerated C5/6 Disc, treatedwith a Prestige Artificial DiscRobert S Pashman, MDScoliosis and Spinal Deformity Surgerywww.eSpine.com
  • 2. Patient History51-year-old female, traveled from the Vietnam fortreatment.C6 radiculopathy with degeneration of the cervical spineat C4-5 and C6-7 but basically centered at C5-6.C6 bilateral radiculopathy, more so on the Left than theRight.Bilateral severe neural foraminal stenosis, slightjunctional kyphosis and severe degeneration.The patient has effacement of the cord, neural foraminalstenosis, correlating with C6 radiculopathy, none at C5or 7.Severe posterior trapazoid pain also with motion.Failed conservative therapy.
  • 3. Pre-op X-rays
  • 4. Bending X-rays
  • 5. Indications for SurgeryDegenerative disk disease, C5-6.Bilateral neural foraminal stenosis, C5-6.C6 radiculopathy bilaterally.Failed conservative therapy.Cervical degeneration, C4-5, C6-7, without neuralforaminal stenosis.
  • 6. Surgical Strategy1. Radical diskectomy, C5-6.2. Bilateral neural foraminotomy with removal of uncovertebral osteophyte, C5-6.3. Placement of 6 x 16-mm Prestige total cervical disk replacement, C5- 6.4. Intraoperative somatosensory evoked potentials.
  • 7. Post-Op Films The patient did well post-operatively. The devise is in position. Her pain was resolved, and she returned home to Vietnam a few weeks following surgery.
  • 8. Post-Op Bending X-rays
  • 9. Pre-Op/Post-op Comparison
  • 10. Pre-Op/Post-op Comparison

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