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MRI of the thoracal spine. (A) Coronal view showed destruction of thoracal spine with pedicular involvement (arrow). (B) Sagittal view T1-weighted images showed wedging of 5th and 6th thoracal spine (arrow). (C) Sagittal view T2-weighted images showed a pathological intensity with increased signal on the 5th and 6th vertebral bodies (arrow) and extended to paravertebral region and compressed the spinal cord on that level (D).
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Post-operative X-ray showed pedicle screw and rod stabilization of upper thoracal spine: (A) antero-posterior view and (B) lateral view.
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A week after hospital admission, we performed a posterior stabilization with the pedicle screws and rods system on 4th, 5th, 7th and 8th thoracic spines and transpedicular biopsy on 6th vertebra (Figure 2).
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