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so Im presenting this paper along with dr. yu its basically case studies of a couple patients that had cervical arthroplasty using mobi c-- and their failures and reasons as to why that might have happened so first Im just going over theres a long term study using mobile see comparing it to artificial disc replacement to fusion and yeah that study showed that artificial disc replacement at one level and fusion at one level have similar success rates when compared to two levels they found that the artificial disc is superior moving on to the case studies the first patient was a 34 year old male who had c5 and c6 7 disc herniations leading to compression at the area so this patient was was pretty young so dr. you chose to preserve spine mobility and go with the artificial discs around one month following this patients operation he started complaining of severe neck pain and this progressively got worse and eventually led to paralysis in his left side in October in January 2017 x-ra