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X-ray (A) of the patient's thoracic spine with obvious degeneration, sagittal MRI (B) showing multi-segment vertebral compression, bone scan (C) showing multi-segment vertebral nucleus concentrations. *All arrow markings in the figures were T-6 vertebrae.
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X-ray of the thoracic spine showed mild vertebral compression of T5 and T6 (Figure 1A). Further magnetic resonance imaging (MRI) showed a high probability of compression fractures of vertebrae from T5 to T8, T10 and T12 (Figure 1B). In order to further clarify the responsible segment, bone scans were given to show that increased radioactive uptake in multiple vertebrae of the thoracolumbar spine, especially for T4, T6, T8, T10, T11 and T12 (Figure 1C).
Vertebroplasty of T6 and T8 vertebrae.
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Then the T6 and T8 vertebrae were analyzed as fresh fracture and symptom responsibility segment to perform vertebroplasty under local anesthesia and sedation (Figure 2A and B).
Biopsy pathology of vertebroplasty (A), biopsy pathology of bone marrow aspirations (B).
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The further result of bone marrow biopsy was showed in Figure 3A. TdT 75.8%. The result of immunohistochemistry (Figure 3B) was negative.