C5/6 disc herniation treated with a Prestige Disc: Case 7

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

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.

    Case Review: 

    51 year old female with degenerated C5/6 Disc, treated with a Prestige Artificial Disc

    Patient History:

    51-year-old female, traveled from the Vietnam for treatment.
    C6 radiculopathy with degeneration of the cervical spine at C4-5 and C6-7 but basically centered at C5-6.
    C6 bilateral radiculopathy, more so on the Left than the Right.
    Bilateral severe neural foraminal stenosis, slight junctional kyphosis and severe degeneration.
    The patient has effacement of the cord, neural foraminal stenosis, correlating with C6 radiculopathy, none at C5or 7.
    Severe posterior trapazoid pain also with motion.
    Failed conservative therapy.

    Indications for Surgery:

    Degenerative disk disease, C5-6.
    Bilateral neural foraminal stenosis, C5-6.
    C6 radiculopathy bilaterally.
    Failed conservative therapy.
    Cervical degeneration, C4-5, C6-7, without neural foraminal stenosis.

    Surgical Strategy:

    1. 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.

    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.