The patient came to the clinic 20-October-2009 complaining of neck and left shoulder pain for 7 months with severe exacerbation the last 10 days with radicular pain down to the second and third fingers left hand. The last 4 days the patient is unable to sleep due to pain.

MRI cervical spine performed 13-October-2009 showing huge extruded disc C6-7 with left foraminal occlusion.

On examination: the patient has pain with limitation of mobility of the neck more to the left and flexion with extension of the neck. There is gross weak grip and extension of the left hand and the left triceps muscle 3/5 with hypalgesia of the median territory of the left hand. There is no cephalic, myelopathic syndromes, nor frozen shoulder.

Using image-intensifier, discectomy of C6-7was performed and the extruded fragments to the left foramen were removed. Using the Medtronic Sofamor Danek Prestige LP technique the trail 5 mm was sufficient.  Insertion of Prestige LP cervical disc system  5X16 mm dimensions was achieved and check X-rays were performed in AP and lateral views with flexion and extension of the neck was done.

Routine closure of the wound and smooth postoperative recovery and the power of the left upper limb normalized and the patient sent to the ward.

Insertion of artificial disc can keep the disc height and mobility of the segment, preventing future escalation of events in the upper level, which is already suffering and remove stress at Leushko joints.

The cost of the device is very expensive. This will limit its use in the daily activity.