Case Review:Prestige Artificial Disc forsubadjacent degenerationat C6/7Robert S Pashman, MDScoliosis and Spinal Deformity ...
Patient History44 year old malePrevious fusion C5-6, three years prior with physician inhis area.Increasing neck and shoul...
Pre-op X-rays
Flexion and Extension X-rays
Indications for SurgeryStatus post anterior cervical diskectomy and fusion atC5-6.Now with subadjacent C6-7 disk herniatio...
Surgical StrategyRadical diskectomy with spinal cord decompression atC6-7, under the microscope, from a left-handedapproac...
Post-Op Films                  The patient is                 doing very well.                  No significant            ...
Pre-Op/Post-Op Film ComparisonPrevious                              Previous fusion                               fusion  ...
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Case Review #3: 44 year old male with a subadjacent disc herniation

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A 44 year old male presented after a C5/6 fusion. On MRI he was found to have a subadjacent disc herniation. Dr. Pashman treated the patient with a Prestige Artificial Disc.

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Case Review #3: 44 year old male with a subadjacent disc herniation

  1. 1. Case Review:Prestige Artificial Disc forsubadjacent degenerationat C6/7Robert S Pashman, MDScoliosis and Spinal Deformity Surgerywww.eSpine.com
  2. 2. Patient History44 year old malePrevious fusion C5-6, three years prior with physician inhis area.Increasing neck and shoulder pain.MRI shows a severe subjacent degeneration diskherniation at C6-7 with bilateral neural foraminalextension. The patient also has significant cordeffacement at C6-7.
  3. 3. Pre-op X-rays
  4. 4. Flexion and Extension X-rays
  5. 5. Indications for SurgeryStatus post anterior cervical diskectomy and fusion atC5-6.Now with subadjacent C6-7 disk herniation and spinalcord compression.Degenerative disk disease, C6-7.Bilateral myeloradiculopathy, C6-7.Failed conservative therapy.
  6. 6. Surgical StrategyRadical diskectomy with spinal cord decompression atC6-7, under the microscope, from a left-handedapproach.Bilateral neural foraminotomy at C6-7.Bilateral subtotal vertebrectomy at C6, with removal ofmass of uncal vertebral osteophyte inferiorly, superiorly,and anteriorly, constituting one-third of vertebra.Removal of retained hardware at C5-6.Placement of Prestige Disc at C6-7 measuring 7x18 mm,with four screw fixation.Intraoperative fluoroscopy.Intraoperative somatosensory evoked potentials.
  7. 7. Post-Op Films The patient is doing very well. No significant neck or arm pain following surgery.
  8. 8. Pre-Op/Post-Op Film ComparisonPrevious Previous fusion fusion Prestige Disc Degenerated Disc

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