case_images: PMC7656024_01
case_images: Preoperative MRI scan; sagittal T2 view.
case_images: SNI-11-327-g001.jpg
case_images: PMC7656024_01_SNI-11-327-g001.jpg
case_images: F1
case_images: The MR revealed three-level disc disease (e.g., C4/C5, C5- C6 and C6/C7) resulting in spinal canal stenosis and cord compression; the preoperative MR showed a high cord signal on the T2-weighted study at the C4/5 level [Figure 1].
case_images: Postoperative MRI; sagittal T2 view.
case_images: SNI-11-327-g002.jpg
case_images: PMC7656024_01_SNI-11-327-g002.jpg
case_images: F2
case_images: He underwent an uneventful three-level ACDF without complications (e.g., specifically no durotomy) [Figure 2].
case_images: Postoperative MRI; axial T2 view.
case_images: SNI-11-327-g003.jpg
case_images: PMC7656024_01_SNI-11-327-g003.jpg
case_images: F3
case_images: One year later, he developed a recurrent and progressive myelopathy; it was attributed to MR documented anterolateral spinal cord herniation on the right at the C4/5 level [Figure 3].