PMC7474348_01
MR thoracic spine T2-weighted image demonstrates mild enhancement in the T11-T12 disc space with mild endplate erosion. No significant spinal stenosis.
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A magnetic resonance (MR) imaging study was worrisome for T11-T12 osteomyelitis (Figures 1-2).
MR thoracic spine T2-weighted image 3 months later demonstrates progression of end plate destruction and phlegmon and progression of spinal stenosis.
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A magnetic resonance (MR) imaging study was worrisome for T11-T12 osteomyelitis (Figures 1-2).
MR thoracic spine T2-weighted image 1 month later showing progressive collapse of T11 and T12 vertebral bodies and severe spinal stenosis.
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MR demonstrated progression of T11 and T12 disc destruction with collapse and severe spinal canal compromise (Figure 3).
Lateral thoracic spine shows T9-L2 posterior pedicle screw and rod fixation with T11 and T12 corpectomies with expandable intervertebral cage.
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The patient was taken to the operating room and underwent a right lateral approach for T11 and T12 corpectomies with implantation of an expandable cage and bilateral T9-L2 percutaneous pedicle screw fixation (Figure 4).
MR thoracic spine T2-weighted image 2 months postoperatively shows decompression of the spinal cord with instrumentation.
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Follow-up MR imaging six months after surgery demonstrated resolution of canal compromise and stabilization of thoracolumbar spine (Figure 5).