PMC9587697_01
Spinal fracture of the 11th-12th thoracal vertebrae and imaging. (A) Spinal fracture is clearly visible from inspection of the patient's back. (B and C) an AP and lateral x-ray shows a wedge-shaped fracture on the 11th-12th thoracal vertebra, (D-L) T2 sequence MRI images of patient vertebrae show a wedge shape fracture on the 11th-12th thoracal vertebra, accompanied with paravertebral abscess (arrow). X-ray: (B) AB view. (C) lateral view. MRI: (D, J-L) coronal view. (E, F and I) sagittal view. (G and H) axial view.
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Inspection showed painful bulging/gibbus on the patient's back with no pathological reflexes (Figure 1). X-ray images showed a wedge-shaped fracture at the 11th-12th thoracic vertebrae (Figure 1). Inhomogeneous vertebral body intensity changes in the 11th-12th thoracic vertebrae and the intervertebral disc were also observed, which was in line with the diagnosis of spondylosis TB and spondylodiscitis TB (Figure 1).
Patient's condition 3 months after discharge. The patient is able to tiptoe walking (A), continues his work as a food hawker (B), and sits (C) without any difficulty or pain.
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At follow-up, 3 months later, the patient has returned to his routine activity as a food hawker with no motor deficits (Figure 2).