PMC6213806_01
Preoperative MRI cervical spine sagittal STIR (left) and axial T2 (right) showing dorsal epidural hematoma causing cord compression at C7-T1
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F1
However, the STAT MRI revealed a left paramedian dorsal epidural hematoma at the C7-T1 level causing cord compression along with complete disruption of the ligamentum flavum and C7T1 interspinous ligament [Figure 1].
Postoperative cervical spine AP/lateral XR showing C6-T1 fusion construct with lateral mass screws at C6 and T1 pedicle screws
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F2
The patient taken to the operating room emergently for a T1 laminectomy, evacuation of the C7T1 epidural hematoma, and a C6-T1 instrumented fusion [Figure 2].