Early Implant Failure of a 2-Level M6-Cervical Total Disc Replacement: A Case Report

Nicholas J. Clark; Elvis L. Francois; Brett A. Freedman; Bradford Currier

doi:10.2106/JBJS.CC.19.00644

Early Implant Failure of a 2-Level M6-Cervical Total Disc Replacement: A Case Report

Nicholas J. Clark, Elvis L. Francois, Brett A. Freedman, Bradford Currier

Orthopedic Surgery

Research output: Contribution to journal › Article › peer-review

Abstract

Case:We report a case of implant failure after primary 2-level M6-cervical disc replacement (M6-C; Spinal Kinetics) at C4-5 and C5-6. At revision surgery, a full-thickness tear was identified in the sheath of the C5-6 implant. Histology from periprosthetic tissue demonstrated polyethylene particles without acute inflammation. Tissue cultures were positive for Propionibacterium acnes, but ultrasonicate cultures were negative for both prostheses. An independent laboratory test confirmed mechanical failure of the C5-6 prosthesis.Conclusion:This is the first report of mechanical failure associated with wear-debris osteolysis after M6-C disc arthroplasty. Therefore, continued surveillance after CTDR is necessary.

Original language	English (US)
Article number	e19.00644
Journal	JBJS case connector
Volume	10
Issue number	3
DOIs	https://doi.org/10.2106/JBJS.CC.19.00644
State	Published - Jul 2020

ASJC Scopus subject areas

General Medicine

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10.2106/JBJS.CC.19.00644

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title = "Early Implant Failure of a 2-Level M6-Cervical Total Disc Replacement: A Case Report",

abstract = "Case:We report a case of implant failure after primary 2-level M6-cervical disc replacement (M6-C; Spinal Kinetics) at C4-5 and C5-6. At revision surgery, a full-thickness tear was identified in the sheath of the C5-6 implant. Histology from periprosthetic tissue demonstrated polyethylene particles without acute inflammation. Tissue cultures were positive for Propionibacterium acnes, but ultrasonicate cultures were negative for both prostheses. An independent laboratory test confirmed mechanical failure of the C5-6 prosthesis.Conclusion:This is the first report of mechanical failure associated with wear-debris osteolysis after M6-C disc arthroplasty. Therefore, continued surveillance after CTDR is necessary.",

author = "Clark, {Nicholas J.} and Francois, {Elvis L.} and Freedman, {Brett A.} and Bradford Currier",

year = "2020",

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T1 - Early Implant Failure of a 2-Level M6-Cervical Total Disc Replacement

T2 - A Case Report

AU - Clark, Nicholas J.

AU - Francois, Elvis L.

AU - Freedman, Brett A.

AU - Currier, Bradford

PY - 2020/7

Y1 - 2020/7

N2 - Case:We report a case of implant failure after primary 2-level M6-cervical disc replacement (M6-C; Spinal Kinetics) at C4-5 and C5-6. At revision surgery, a full-thickness tear was identified in the sheath of the C5-6 implant. Histology from periprosthetic tissue demonstrated polyethylene particles without acute inflammation. Tissue cultures were positive for Propionibacterium acnes, but ultrasonicate cultures were negative for both prostheses. An independent laboratory test confirmed mechanical failure of the C5-6 prosthesis.Conclusion:This is the first report of mechanical failure associated with wear-debris osteolysis after M6-C disc arthroplasty. Therefore, continued surveillance after CTDR is necessary.

AB - Case:We report a case of implant failure after primary 2-level M6-cervical disc replacement (M6-C; Spinal Kinetics) at C4-5 and C5-6. At revision surgery, a full-thickness tear was identified in the sheath of the C5-6 implant. Histology from periprosthetic tissue demonstrated polyethylene particles without acute inflammation. Tissue cultures were positive for Propionibacterium acnes, but ultrasonicate cultures were negative for both prostheses. An independent laboratory test confirmed mechanical failure of the C5-6 prosthesis.Conclusion:This is the first report of mechanical failure associated with wear-debris osteolysis after M6-C disc arthroplasty. Therefore, continued surveillance after CTDR is necessary.

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Early Implant Failure of a 2-Level M6-Cervical Total Disc Replacement: A Case Report

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