Prestige Artificial Disc for subadjacent degeneration at C6/7: Case 3

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

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.

    Case Review: 

    Prestige Artificial Disc for subadjacent degeneration at C6/7

    Patient History:

    44 year old male
    Previous fusion C5-6, three years prior with physician in his area.
    Increasing neck and shoulder pain.MRI shows a severe subjacent degeneration disk herniation at C6-7 with bilateral neural foraminal extension.
    The patient also has significant cord effacement at C6-7.

    Indications for Surgery:

    Status post anterior cervical diskectomy and fusion at C5-6.
    Now with subadjacent C6-7 disk herniation and spinal cord compression.
    Degenerative disk disease, C6-7.
    Bilateral myeloradiculopathy, C6-7.
    Failed conservative therapy.

    Surgical Strategy:

    Radical diskectomy with spinal cord decompression atC6-7, under the microscope, from a left-handed approach.
    Bilateral neural foraminotomy at C6-7.
    Bilateral subtotal vertebrectomy at C6, with removal of mass 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 7×18 mm, with four screw fixation.
    Intraoperative fluoroscopy.
    Intraoperative somatosensory evoked potentials.

    Post-Op Films: 

    The patient is doing very well. No significant neck or arm pain following surgery.