The patient came from Iraq-Irbil complaining of neck pain for 21 years with exacerbation last 4 years and right shoulder and right upper limb pain for 2 years. He was admitted directly to Shmaisani hospital.

MRI lumbar spine done 16-December-2011 showing PCD C5-6 with right foraminal occlusion, shifting posterior the spinal cord.

On examination, the patient has pain when moving the neck to all directions. He has weak grip right hand 4/5 and extension right hand -4/5 and right triceps 3/5. There is also weak quadriceps femoris 4/5, dorsiflexion right foot -4/5 and planterflexion right foot 4/5. There is hypalgesia right S1 territory. MRI lumbar spine performed 16-December-2011 ruling out the presence of major disc prolapse in the lumbar spine.

Discectomy of C5-6 was achieved until the dura was seen in the right side of the posterior aspect. Discover Depuy artificial disc 16.7x17.2x8mm was inserted and all the stages of surgery were under C-arm control.

Routine closure of the wound. Smooth postoperative recovery with improvement of the power of the right upper and lower limbs.

The patient has radicular and myelopathic syndrome due to compression of the root and distortion of the spinal cord.

Considering his age, artificial disc is more appropriate for him than inserting a cage and fuse the segment. By applying the disc prosthesis, more physiologic restoration after surgery, the patient will regain.