The patient came to the clinic 01-February-2010 complaining of neck and right shoulder pain for 5 days with agonizing pain right upper limb and numbness of the thumb right hand for 5 days.

MRI performed 30-January-2010 showing extruded disc C5-6 with right foraminal occlusion with syrinx mid dorsal small size.

On examination: the patient in agonizing pain with severe pain and limitation of neck movement when looking to the right and upward. There is hypalgesia of the right V1+2 down to D2 right side. He has also hypalgesia of the right lower lib below the knee. Severe weak grip and extension right hand 3/5 and the right triceps 4/5. There is also weak dorsiflexion right foot 4/5.

Discectomy of C5-6 was done and the extruded disc in the right foramen was removed.

Prestige LP artificial disc device 6X16 mm was implanted at the C5-6 under image-intensifier control during all steps of the procedure.

Routine closure of the wound.

Smooth postoperative recovery, with improvement of the power of right upper limb.

Using Prestige LP Medtronic is an acceptable option, since there is some wedging of C5 and insertion of such device could bring some correction to the alignment of the cervical spine.

The physiologic function of the cervical spine remain at this damaged level, which could yield better outcome.

It was preferable to use 6X18 mm device, which is not available. So as to have the compromise, the construct was pushed 1 mm deeper than usual.