Precision Revision After Misplaced Hardware

The importance of experience and precision in spine revision surgery is imperative, particularly when prior interventions have failed to resolve the underlying issue.

The patient came to us with persistent neck pain and limited mobility following multiple prior procedures. After a thorough review, Dr. Peloza identified a critical issue that had been overlooked: a malpositioned screw from an earlier surgery was compressing a nerve, contributing to the patient’s ongoing symptoms.

To correct the problem, Dr. Peloza performed a carefully planned revision. He removed the problematic hardware, extended the fusion at C4/5 to restore spinal stability, and preserved motion at C3/4 with a Total Disc Replacement (TDR). This hybrid approach addressed both the mechanical and neurological components of the problem—relieving pressure on the nerve while maintaining movement in the adjacent level.