PMC5569402_01
Preoperative magnetic resonance imaging (MRI). Preoperative MRI of the thoracic spine displays a lesion in the T2 vertebral body. The lesion on T1 (left) appears hypointense. The lesion on T2 (right) appears hyperintense
SNI-8-173-g001.jpg
PMC5569402_01_SNI-8-173-g001.jpg
F1
The fracture appeared to have high signal intensity on the T2-weighted image and low signal intensity on the T1-weighted image, consistent with an active tumor, most likely a plasmacytoma [Figure 1]. The patient underwent a T2 vertebrectomy, an anterior T1-3 arthrodesis, and a C5-T4 posterior arthrodesis utilizing a left lateral extracavitary approach [Figure 2].
Postoperative X-rays of the cervicothoracic junction. Lateral mass screws can be seen in C5 and C6 bilaterally. Pedicle screws can be seen in T1, T3, and T4 bilaterally
SNI-8-173-g002.jpg
PMC5569402_01_SNI-8-173-g002.jpg
F2
The fracture appeared to have high signal intensity on the T2-weighted image and low signal intensity on the T1-weighted image, consistent with an active tumor, most likely a plasmacytoma [Figure 1]. The patient underwent a T2 vertebrectomy, an anterior T1-3 arthrodesis, and a C5-T4 posterior arthrodesis utilizing a left lateral extracavitary approach [Figure 2].