Three recently released case reports from our Match-the-Disc Case Report Series are on the med+ Medical Education website from Centinel Spine. The heart of these case reports centers on each surgeon's individual decision process in selecting prodisc C Vivo for their patient's procedure.
Case Report #4 of the Match-the-Disc Series:
First, Orthopedic Surgeon Dr. Jose H. Jimenez-Almonte, of Central Florida Bone and Joint Institute, Orange City, FL discusses a 51-year-old right-hand dominant female patient who presented for evaluation for left-sided arm pain. In assessing the patient, the Florida spine surgeon noted she presented with left arm pain & neck pain affecting many of her activities of daily life. Imaging findings revealed disc degeneration at C5-C6 with significant central stenosis and bilateral foraminal stenosis with no signs of instability, retrolisthesis, or anterolisthesis.
According to the Florida Surgeon:
“The patient’s superior template appears to be more concave compared to the pre-operative x-rays.” He continues, “This makes the prodisc Cervical ‘Match-the-Disc’ disc replacement system the perfect option, since I was able to change my implant choice interactively from a flat superior endplate to concave superior endplate with the prodisc C Vivo cervical disc replacement option.”
-Dr. Jose H. Jimenez-Almonte
Case Report #5 of the Match-the-Disc Series:
Next, Orthopedic Spine Surgeon Dr. Jason Cuéllar, of Cuéllar Spine, Palm Beach County, FL and Beverly Hills, CA reviews the case of a 36-year-old male patient with a history of neck pain radiating into both shoulders. Per his evaluation, Dr. Cuéllar noted that this particular patient presented with numbness in the radial 3 fingers of both hands after a bicycle accident that involved him flipping over the handlebars and hitting his head. Imaging findings disclosed disc degeneration at C5-C6 without adjacent segment pathology.
According to Dr. Cuéllar:
“This patient is a young athletic person, so I wanted to use a device with proven core longevity and biomechanics. Preoperative considerations included measuring his disc on the pre-op MRI—at 20mm deep, this excluded several implants that only make a 16mm deep footprint.”
-Dr. Jason Cuéllar
Case Report #6 of the Match-the-Disc Series:
Finally, Orthopedic Surgeon Dr. Ehsan Jazini, of Virginia Spine Institute, Reston, VA reports on a 28-year-old male patient who presented with a 6-week history of right-sided neck and arm pain. During the initial assessment, the Virginia spine surgeon noted the patient presented with right-sided neck pain and right bicep, dorsal forearm, and first- and second-digit pain and numbness. Imaging findings revealed a large right foraminal stenosis at C5/6, causing severe foraminal stenosis and cord displacement.
The Virginia surgeon notes in the report:
“One level ACDR, prodisc C Vivo at C5/6. prodisc C Vivo was selected due to relative domed shape at C4/5. Intraoperative fluoroscopy and findings after complete discectomy and release confirmed the decision-making to stick with prodisc C Vivo due to endplate morphology.”
-Dr. Ehsan Jazini
This case report also provides a detailed motion analysis and interpretation of the spinal segments, showing physiologic motion adjacent to the abnormal level—the expectation being that all net motion to be gained with a disc replacement was at the abnormal level.
To Access These Case Reports:
These case reports are available on the Centinel Spine Mobile Hub (go to Product Solutions > prodisc C Vivo > Clinical Discussion), as well as the Centinel Spine Med+ medical education website at:
https://www.centinelspinemed.com/caselibrary.php
Don't forget to share the reports with your surgeons as they consider disc replacement options for their next patient.