A 46-year-old female with C5/6 disc herniation and neck and arm pain underwent a C5-6 artificial disc replacement after conservative therapy failed. Pre-op imaging showed degeneration, osteophytes, and spinal cord compression at C5-6. The surgery involved a discectomy, vertebrectomy to remove osteophytes causing stenosis, and implantation of a Prestige artificial disc. Post-op, the patient's neck and arm pain were resolved.

1. Case Review:
46 year old female with
C5/6 disc herniation
treated with a Prestige
Artificial Disc
Robert S Pashman, MD
Scoliosis and Spinal Deformity
www.eSpine.com

2. Patient History
46 year old female
Massive neck pain
Arm pain
Failed conservative therapy
Escalating intake of pain medication
Degeneration of C5/6, osteophytes, spinal cord
compression and stenosis found on MRI

3. Pre-op X-rays
Degeneration
of C5/6 Disc

4. Indications for Surgery
Degenerative disc disease of C5-6.
Neuroforaminal stenosis of C5-6.
Degenerative disc disease of the spinal cord and
neuroforaminal C6 compression.
Severe uncovertebral osteophyte causing spinal cord
and neuroforaminal compression necessitating
vertebrectomy.
Failed conservative therapy.

5. Surgical Strategy
Radical discectomy with complete spinal canal
evacuation of soft disc.
Subtotal vertebrectomy C5-6 for removal of mass of
uncovertebral osteophyte and neuroforaminal stenosis.
Cervical total disc replacement using Prestige 6 x 14
implant.
Intraoperative SSEP.
Intraoperative fluoroscopy.

6. Post-Op Films

7. Pre-Op/Post-op Comparison
The patient is doing
well post-operatively.
Her neck and arm
pain were resolved.