Case Review:46 year old female withC5/6 disc herniationtreated with a PrestigeArtificial DiscRobert S Pashman, MDScoliosis...
Patient History46 year old femaleMassive neck painArm painFailed conservative therapyEscalating intake of pain medicationD...
Pre-op X-raysDegenerationof C5/6 Disc
Indications for SurgeryDegenerative disc disease of C5-6.Neuroforaminal stenosis of C5-6.Degenerative disc disease of the ...
Surgical StrategyRadical discectomy with complete spinal canalevacuation of soft disc.Subtotal vertebrectomy C5-6 for remo...
Post-Op Films
Pre-Op/Post-op Comparison The patient is doing well post-operatively. ...
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Case Review #2: 46 year old female with Prestige Disc Replacement

A 46 year old female presented with massive neck pain and a C5/6 disc herniation. Dr. Pashman treated her with an anterior cervical discectomy and placement of a Prestige Disc.
Published on: Mar 4, 2016
Published in: Health & Medicine      
Source: www.slideshare.net


Transcripts - Case Review #2: 46 year old female with Prestige Disc Replacement

  • 1. Case Review:46 year old female withC5/6 disc herniationtreated with a PrestigeArtificial DiscRobert S Pashman, MDScoliosis and Spinal Deformitywww.eSpine.com
  • 2. Patient History46 year old femaleMassive neck painArm painFailed conservative therapyEscalating intake of pain medicationDegeneration of C5/6, osteophytes, spinal cordcompression and stenosis found on MRI
  • 3. Pre-op X-raysDegenerationof C5/6 Disc
  • 4. Indications for SurgeryDegenerative disc disease of C5-6.Neuroforaminal stenosis of C5-6.Degenerative disc disease of the spinal cord andneuroforaminal C6 compression.Severe uncovertebral osteophyte causing spinal cordand neuroforaminal compression necessitatingvertebrectomy.Failed conservative therapy.
  • 5. Surgical StrategyRadical discectomy with complete spinal canalevacuation of soft disc.Subtotal vertebrectomy C5-6 for removal of mass ofuncovertebral osteophyte and neuroforaminal stenosis.Cervical total disc replacement using Prestige 6 x 14implant.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.

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