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this is a case study of a patient who had a prior fusion three discs fused in her neck she came all the way from Texas she was told she needed another fusion on the bottom if you look youll see three of her discs fused one at the plate and screws and the two below it the bottom disc in her back needed attention it was pinching a nerve and failing on flexion extension watched the movement here she does move and so she was an artificial disc candidate at that level she asked me can you remove one of my fusions because Im a golfer and I cant get my head down and so I said I can try I did some special studies and investigations I felt she was a candidate and here you see post operative shes now two years out look at the motion I put an artificial disc in wear her old fusion was and one on the bottom and shes got more motion now see how her head goes down and back she has great motion shes doing well we can restore motion by taking down fusions have a great day you