Clinical Experience of the First 20 Prestige LP Cervical Arthroplasties

Cervical Disc Replacement with Prestige LP Cervical Disc Replacement

 

Spondylotic Radiculopathy

 

Male late sixties

Smoker to 1 pack/day

Right > left arm numbness for 10 years

Numbness radiates from neck to radial 2 digits both arms

Unable to sleep at night with waking arm pain and numbness

CT SCAN TO ASSESS FACET ARTHROPATHY - RIGHT

CT SCAN TO ASSESS FACET ARTHROPATHY - LEFT

PRE OPERATIVE RADIOGRAPHS

MRI EXAMINATION - FORAMINAL STENOSIS BILATERAL C5-6 and LEFT C6-7

POST OPERATIVE RADIOGRAPHS

PRE- OPERATIVE RANGE OF MOTION

ONE YEAR POST OPERATIVE FLEXION EXTENSION RADIOGRAPHS - MOTION RESTORATION

RANGE OF MOTION FLEXION PRE VS POST OPERATIVE RADIOGRAPHS

 

PRE OPERATIVE OBLIQUE VIEWS - SIGNIFICANT C5-6 FORAMINAL STENOSIS

Procedure:

 

C5/6 C6/7 discectomy for central decompression

 

 

 

 

 

Posterior uncovertebrectomies:

bilateral C5-6 and left C6-7

Complete Radicular Symptom Relief

Maintenance of Range of Motion

At One Year 40% INCREASE in range of motion as compared to pre op

 

Part 4 Summary and Conclusions

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RANGE OF MOTION EXTENSION PRE VS POST OPERATIVE RADIOGRAPHS

 

RIGHT C5-6 POSTERIOR UNCOVERTEBRECTOMY - FORAMINAL DECOMPRESSION

LEFT C5-6 POSTERIOR UNCOVERTEBRECTOMY - FORAMINAL DECOMPRESSION

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