PMC8645474_01
CT scan of the lesion.
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F1
This resulted in circumferential cord compression and paraparesis [Figures 1 and 2].
CT scan of the lesion.
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F2
This resulted in circumferential cord compression and paraparesis [Figures 1 and 2].
MRI of the lesion.
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F3
The latter resulted in epidural cord compression and high T2 intramedullary cord signal from D2-5 [Figures 3 and 4].
MRI showing involvement of 4th thoracic vertebra with epidural soft tissue component compressing the spinal cord.
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F4
The latter resulted in epidural cord compression and high T2 intramedullary cord signal from D2-5 [Figures 3 and 4].
Intra operative picture showing the tumour through the posterior approach.
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F5
Picture showing the spinal cord after removal of the tumour and stabilization through posterior approach.
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F6
Intraoperative pictures of posterior procedure
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F7
Removed tumour mass through the posterior approach.
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F8
Postoperative X-ray after posterior procedure
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F9
Trans-axillary thoracotomy, corpectomy, and anterior fixation.
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F10
This was followed by the anterior placement of an autogenous D3-D5 iliac crest graft [Figures 10-14].
Intra operative picture showing the spinal cord after D4(4th dorsal vertebra) corpectomy.
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F11
This was followed by the anterior placement of an autogenous D3-D5 iliac crest graft [Figures 10-14].
Iliac crest graft placed at the D4 corpectomy site and D3-D5 fixed with screws and rod.
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F12
This was followed by the anterior placement of an autogenous D3-D5 iliac crest graft [Figures 10-14].
Patient recovering after surgery.
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F13
This was followed by the anterior placement of an autogenous D3-D5 iliac crest graft [Figures 10-14].
Post operative xray showing the implant position.
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F14
This was followed by the anterior placement of an autogenous D3-D5 iliac crest graft [Figures 10-14].
Post operative CT scan showing the implants in situ.
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F15
At the second surgery, the osteosarcoma tissue appeared more vascular [Figure 15].