Download PDF
CC BY-NC-ND 4.0 · Asian J Neurosurg 2020; 15(03): 719-721
DOI: 10.4103/ajns.AJNS_147_20
Case Report

An anterior dislocation after Mobi-C cervical disc arthroplasty

Yann Pelletier
Department of Orthopaedic, Spine Unit, Pellegrin Hospital, CHU Bordeaux, Bordeaux
,
Olivier Gille
Department of Orthopaedic, Spine Unit, Pellegrin Hospital, CHU Bordeaux, Bordeaux
,
Jean-Marc Vital
Department of Orthopaedic, Spine Unit, Pellegrin Hospital, CHU Bordeaux, Bordeaux
› Author Affiliations
› Further Information
Also available at
   Permissions and Reprints

The objective is to report a case of an early dislocation of Mobi-C prosthesis used for the replacement of C4–C5 disc. A 57-year-old man who was operated 17 years before for C6–C7 fusion complained of cervicalgia associated with bilateral but predominantly right-sided brachialgia. Magnetic resonance imaging demonstrated central and foraminal stenosis in the C5–C6 segment and soft medial disc herniation in the C4–C5 segment. The patient was indicated for the placement of a cervical disc prosthesis C4–C5 and a C5–C6 arthrodesis. After 1 month of clinical improvement, the patient saw his pain reappearing as well as the presence of dysphagia not objectified before. The patient did not describe a traumatic context. The radiographic assessment showed an anterior dislocation of the prosthesis. The patient was reoperated, the prosthesis was removed, and cervical arthrodesis with iliac graft was performed. Although rare, this complication must be well known by surgeons performing cervical arthroplasty.

Key-words:

Cervical disc arthroplasty - complication - dislocation - surgery revision

Financial support and sponsorship

Nil.




Publication History

Received: 08 April 2020

Accepted: 21 May 2020

Article published online:
16 August 2022

© 2020. Asian Congress of Neurological Surgeons. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

Thieme Medical and Scientific Publishers Pvt. Ltd.
A-12, 2nd Floor, Sector 2, Noida-201301 UP, India

 

  • References

  • 1 Anderson PA, Nassr A, Currier BL, Sebastian AS, Arnold PM, Fehlings MG, et al. Evaluation of adverse events in total disc replacement: A meta-analysis of FDA summary of safety and effectiveness data. Global Spine J 2017;7:76S-83.
  • 2 Staudt MD, Das K, Duggal N. Does design matter? Cervical disc replacements under review. Neurosurg Rev 2018;41:399-407.
  • 3 Wagner SC, Kang DG, Helgeson MD. Traumatic migration of the Bryan cervical disc arthroplasty. Global Spine J 2016;6:e15-20.
  • 4 Wagner SC, Kang DG, Helgeson MD. Implant migration after Bryan cervical disc arthroplasty. Spine J 2014;14:2513-4.
  • 5 Zhai JL, Chang X, Hu JH, Weng XS. A case of implant migration following Bi-level cervical disc arthroplasty. Chin Med J (Engl) 2017;130:497-8.
  • 6 Tsermoulas G, Bhattathiri PS. Anterior migration of prosthesis following cervical arthroplasty. Br J Neurosurg 2013;27:132-3.
  • 7 Vital JM, Guerin P, Gille O, Pointillart V, Aurouer N, Obeid I. The Mobi-C®cervical disc prosthesis: Indications, technique and results. Interact Surg 2008;3:181-6.