case_images: PMC10629298_01
case_images: Preop CT axial (a) and sagittal (b) view showing comminuted compression deformity of C6 vertebral body with 50-55% height loss and retropulsion of bony fragments into the spinal canal.
case_images: SNI-14-358-g001.jpg
case_images: PMC10629298_01_SNI-14-358-g001.jpg
case_images: F1
case_images: There was no underlying lytic lesion to suggest a neoplastic process and no gross paraspinal soft-tissue abnormality was noted [Figure 1].
case_images: Preop MRI showing redemonstration of a comminuted C6 compression fracture with retropulsion of bone fragments into the spinal canal resulting in a thecal sac anterior-posterior (AP) width of 7 mm with patency of the bilateral neural foramina.
case_images: SNI-14-358-g002.jpg
case_images: PMC10629298_01_SNI-14-358-g002.jpg
case_images: F2
case_images: On magnetic resonance imaging (MRI), there was a redemonstration of a comminuted C6 compression fracture with retropulsion of bone fragments into the spinal canal resulting in a thecal sac anterior-posterior width of 7 mm with patency of the bilateral neural foramina [Figure 2].
case_images: Post-contrast T1 sequence MRI showed C6 vertebral body and bilateral pedicle enhancement with C2-T1 prevertebral soft tissue swelling of variable thickness (maximum width of 6 mm). The paraspinal soft tissues were again otherwise unremarkable.
case_images: SNI-14-358-g003.jpg
case_images: PMC10629298_01_SNI-14-358-g003.jpg
case_images: F3
case_images: The paraspinal soft tissues were again otherwise unremarkable [Figure 3]. MRI T2 sequence showed regional flow voids within the C6 vertebral body [Figure 4]. There was diffusion restriction on the apparent diffusion coefficient and diffusion-weighted imaging diffusion restriction (not shown).
case_images: MRI T2 sequence showed regional flow voids within the C6 vertebral body.
case_images: SNI-14-358-g004.jpg
case_images: PMC10629298_01_SNI-14-358-g004.jpg
case_images: F4
case_images: The paraspinal soft tissues were again otherwise unremarkable [Figure 3]. MRI T2 sequence showed regional flow voids within the C6 vertebral body [Figure 4]. There was diffusion restriction on the apparent diffusion coefficient and diffusion-weighted imaging diffusion restriction (not shown).