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 ½ 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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