PMC6153394_01
Sagittal (A) and axial (B,C) computerized tomography scan demonstrating C4 vertebrae erosion in anterior and posterior components and subluxation of the underlying segments compromising the cervical canal. Sagittal (STIR) (D), axial (E) and coronal (F) T2 weighted MRI images showing the displacement of vertebrae and compression of the spinal cord.
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The CT scan (Fig. 1A-C). showed a lytic lesion on the fourth vertebral body of cervical spine (C4) and a displacement of underlying vertebrae and the posterior elements compromising the cervical canal and displacing the spine. In the magnetic resonance imaging (MRI) we could observe bone erosion of C4 and subluxation of underlying vertebrae with hyperintense images in spinal cord. (Fig. 1D-F).
Transoperative images showing the titanium fixation system at site of C4 corpectomy.
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It was managed with corpectomy of C4, decompression of cervical canal and the insertion of fixation system and four screws (Fig. 2).