The patient came to the clinic 15-October-2011 complaining of neck pain for 3 years with right upper limb pain for 1 year and both upper limbs pain the last 2 weeks with cephalic pain and pain shooting to the legs upon moving the neck.

MRI cervical spine done 09-October-2011 showing PCD C5-6 with left foraminal occlusion.

On examination: there is weak grip and extension both hands 4/5 and both triceps more the left 3/5. Dorsiflexion left foot was 4/5.

Discectomy of C5-6 was done and the entire dura was seen from the far right to the far left. Using Prestige Medtronic instrumentation, Prestige LP cervical system 16x 6 mm was inserted. Check X-ray with C-arm showed excellent alignment of the construct. Dynamic studies done showing the good adaption to the movements.

Routine closure of the wound.  Smooth postoperative recovery  and improvement of the power of the limbs.

The patient is a young woman and cervical Prestige LP cervical system is an excellent option for her after removal of the compression.

It was necessary to hemmer the lower part of the construct for about 1.5 mm to make the upper part in acceptable alignment. This is due to straight configuration of the construct. To resolve this problem, at least an angulation in the AP must be 3-5⁰ degrees to prevent such problem and to have more or less conforming with the disc space.