PMC7656024_01
Preoperative MRI scan; sagittal T2 view.
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F1
The MR revealed three-level disc disease (e.g., C4/C5, C5- C6 and C6/C7) resulting in spinal canal stenosis and cord compression; the preoperative MR showed a high cord signal on the T2-weighted study at the C4/5 level [Figure 1].
Postoperative MRI; sagittal T2 view.
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F2
He underwent an uneventful three-level ACDF without complications (e.g., specifically no durotomy) [Figure 2].
Postoperative MRI; axial T2 view.
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F3
One year later, he developed a recurrent and progressive myelopathy; it was attributed to MR documented anterolateral spinal cord herniation on the right at the C4/5 level [Figure 3].