PMC6786306_01
Sagittal (a) and axial (b) T2-weighted MRI with arrow pointing at an L1 vertebral body compression fracture concerning for infection or neoplasm. Markedly abnormal signal within the L1 vertebral body, with significant involvement of T12, and the superior aspect of L2
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Fig1
T12 inferior endplate fracture, and a L2 superior endplate fracture (Fig. 1). The imaging was suspicious for a pathologic etiology.
Intraoperative fluoroscopy of lateral (a) and anteroposterior (b) views of the thoracolumbar spine showing the injection of polymethylmethacrylate following the kyphoplasty of L1 and vertebroplasty of T12
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Fig2
T12, and obtained a bone biopsy for pathology and culture (Fig. 2).
Upright anteroposterior radiograph of the thoracolumbar spine following an anterior corpectomy from T12-L2 and placement of an intervertebral biomechanical implant and stabilization with posterior T9-L4 instrumentation and fusion
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Fig3
He underwent an anterior T12-L2 corpectomy and debridement with instrumented fusion, as well as a posterior T9-L4 instrumentation and fusion (Fig. 3).