PMC10159305_01
Standing posteroanterior (left) and lateral (right) scoliosis plain films. There is a right-side scoliotic curve from T8 to L3 (apex at T12) of 31  and thoracic kyphosis from T3 to T12 of 82 . The size of the thoracic vertebral bodies appears small given the size of the lumbar vertebral bodies, and the thorax is proportionally small.
SNI-14-127-g001.jpg
PMC10159305_01_SNI-14-127-g001.jpg
F1
At age 47, he presented with mild myelopathy and issues, bowel and bladder urgency and stable scoliosis [Table 1 and Figure 1].
A T2-weighted sagittal magnetic resonance imaging of cervical and upper thoracic spine demonstrating dural ectasia in the upper thoracic spine associated with an apparent extensive laminectomy defect that begins at T2 and extends distally. The visualized thoracic spinal cord is markedly atretic and adherent to the posterior aspect of the thecal sac. There is considerable artifact from instrumentation at T6.
SNI-14-127-g002.jpg
PMC10159305_01_SNI-14-127-g002.jpg
F2
Notably, the thoracic magnetic resonance imaging showed an atrophic upper thoracic spinal cord, while the lower thoracic cord revealed an increased intramedullary T2 signal that extended to the conus [Figures 2 and 3].
A T2-weighted sagittal magnetic resonance imaging of the thoracic spine demonstrating increased intramedullary T2 signal that extends to the conus medullaris. There is considerable artifact from instrumentation that obscures the mid- and most of the upper thoracic spine.
SNI-14-127-g003.jpg
PMC10159305_01_SNI-14-127-g003.jpg
F3
Notably, the thoracic magnetic resonance imaging showed an atrophic upper thoracic spinal cord, while the lower thoracic cord revealed an increased intramedullary T2 signal that extended to the conus [Figures 2 and 3].