case_images: PMC5504926_01
case_images: X-ray image of the spine at the first visit. Deformation of L2 vertebral body after posterior fixation surgery.
case_images: CRIOR2017-2365808.001.jpg
case_images: PMC5504926_01_CRIOR2017-2365808.001.jpg
case_images: fig1
case_images: We confirmed deformation of the L2 vertebral body by the initial radiography and MRI from the previous facility revealed hyperintensity/hypointensity of the L1, L2, and L3 vertebral bodies and compression of the spinal canal by the tumor at the same level (Figures 1 and 2).
case_images: MRI findings. Brightness changes in the L1, L2, and L3 vertebral bodies and compression of the spinal canal by the tumor at the same level.
case_images: CRIOR2017-2365808.002.jpg
case_images: PMC5504926_01_CRIOR2017-2365808.002.jpg
case_images: fig2
case_images: We confirmed deformation of the L2 vertebral body by the initial radiography and MRI from the previous facility revealed hyperintensity/hypointensity of the L1, L2, and L3 vertebral bodies and compression of the spinal canal by the tumor at the same level (Figures 1 and 2).
case_images: CT images. Vertebral arch (T12-L3) after posterior fixation surgery indicated complete bone union and bridge formation.
case_images: CRIOR2017-2365808.003.jpg
case_images: PMC5504926_01_CRIOR2017-2365808.003.jpg
case_images: fig3
case_images: After posterior fixation surgery, the vertebral arch (T12-L3) in a CT scan indicated a complete bone union and bridge formation (Figure 3).
case_images: Uptake for metastases in the posterior element was not observed in PET/CT.
case_images: CRIOR2017-2365808.004.jpg
case_images: PMC5504926_01_CRIOR2017-2365808.004.jpg
case_images: fig4
case_images: PET/CT revealed no uptake in the posterior element, thus demonstrating no residual metastasis (Figure 4).
case_images: Postoperative CT images. The dashed line shows the approach route. The painted area indicates the excision area.
case_images: CRIOR2017-2365808.005.jpg
case_images: PMC5504926_01_CRIOR2017-2365808.005.jpg
case_images: fig5
case_images: Then, we set an appropriate length of both the mesh cage and autologous bone in the space after anterior element excision, inserted the screws into the T12 and L4 vertebral bodies, fastened the plate, and performed anterior fixation (Figure 5).
case_images: X-ray image of the spine after surgery.
case_images: CRIOR2017-2365808.006.jpg
case_images: PMC5504926_01_CRIOR2017-2365808.006.jpg
case_images: fig6
case_images: The possibility of implant dislodgement due to osteopenia was addressed by performing short posterior fixation (2 above 2 below) and resection of the anterior affected portions of L1-L3 with the use of mesh cage and anterior plate (Figure 6).