PMC8088490_01
(a) T2-weighted MRI scan(sagittal cut) of the whole spine (b) T2-weighted MRI scan at the level of T4 (axial cut). (a) A well-defined extradural soft tissue mass is seen extending from the inferior end-plate of T3 to the inferior end-plate of T5. Hyperintensities noted at T4 and T9. (b) Lesion seen at the level of T4 with an epidural component surrounding the spinal cord and causing displacement of the cord from the midline.
SNI-12-150-g001.jpg
PMC8088490_01_SNI-12-150-g001.jpg
F1
The thoracic magnetic resonance imaging (MRI) now showed a recurrent VH with exophytic extension, and cord compression at the T3-T5 levels [Figure 1].
Intra-operative clinical image after decompression. The image demonstrates the posterior midline laminectomy performed with preservation of the facet joints.
SNI-12-150-g002.jpg
PMC8088490_01_SNI-12-150-g002.jpg
F2
T4 vertebroplasty [Figures 2 and 3]. The patient's motor deficit improved within one week and she was able to ambulate without support four weeks later. The patient was asymptomatic, and did not have any residual weakness on examination during her latest follow-up visit 2 years postoperatively.
Post-operative anteroposterior and lateral radiograph of the spine. (a)Anteroposterior radiograph demonstrates the radio-opaque cement injected into the T4 vertebral body (black arrow). (b) Cement can be seen in T4 on lateral view. A striated pattern can be demonstrated in the T9 vertebral body (red arrow), suggestive of a vertebral body hemangioma
SNI-12-150-g003.jpg
PMC8088490_01_SNI-12-150-g003.jpg
F3
T4 vertebroplasty [Figures 2 and 3]. The patient's motor deficit improved within one week and she was able to ambulate without support four weeks later. The patient was asymptomatic, and did not have any residual weakness on examination during her latest follow-up visit 2 years postoperatively.