PMC8326062_01
X-ray dorsal spine anteroposterior and lateral view: showing D5 to D7 laminectomy defects with collapsed D6 with focal kyphosis.
SNI-12-356-g001.jpg
PMC8326062_01_SNI-12-356-g001.jpg
F1
X-ray and MRI studies both showed a new, pathologic, unstable fracture of D6 involving all three columns; this resulted in significant collapse of the D6 vertebral body with focal kyphosis [Figures 1 and 2].
CT scan spine sagittal view: showing D5 to D7 laminectomy defects with D6 collapse.
SNI-12-356-g002.jpg
PMC8326062_01_SNI-12-356-g002.jpg
F2
X-ray and MRI studies both showed a new, pathologic, unstable fracture of D6 involving all three columns; this resulted in significant collapse of the D6 vertebral body with focal kyphosis [Figures 1 and 2].
MRI dorsal spine sagittal view: the heterogeneous tumor mass spread around the vertebra with collapse of the D6 vertebra.
SNI-12-356-g003.jpg
PMC8326062_01_SNI-12-356-g003.jpg
F3
Further, the MRI and PET scans showed a heterogeneous mass involving the D6 vertebra accompanied by both intraspinal and right paravertebral tumors that now significantly compressed the spinal cord [Figures 3-5].
MRI dorsal spine axial view: the widespread tumor mass causing significant engulfing of spinal cord.
SNI-12-356-g004.jpg
PMC8326062_01_SNI-12-356-g004.jpg
F4
Further, the MRI and PET scans showed a heterogeneous mass involving the D6 vertebra accompanied by both intraspinal and right paravertebral tumors that now significantly compressed the spinal cord [Figures 3-5].
PET scan axial view: lytic lesion seen involving D5, D6, and D7 vertebral body with intraspinal and right paravertebral soft-tissue component.
SNI-12-356-g005.jpg
PMC8326062_01_SNI-12-356-g005.jpg
F5
Further, the MRI and PET scans showed a heterogeneous mass involving the D6 vertebra accompanied by both intraspinal and right paravertebral tumors that now significantly compressed the spinal cord [Figures 3-5].
X-ray postsurgery dorsal spine anteroposterior and lateral view: D5-D7 decompression with D6 corpectomy and anterior mesh cage reconstruction with D3-D9 posterior stabilization.
SNI-12-356-g006.jpg
PMC8326062_01_SNI-12-356-g006.jpg
F6
It included a single-stage procedure; a D5-D7 decompression, D6 corpectomy with anterior mesh cage reconstruction, and a D3-D9 posterior fusion [Figure 6].
Biopsy section: sheets and clusters of plasma cells consisting of immature forms having focal nuclear pleomorphism.
SNI-12-356-g007.jpg
PMC8326062_01_SNI-12-356-g007.jpg
F7