case_images: PMC5458703_01
case_images: Sagittal T2 magnetic resonance imaging from the first hospitalization, with increased signal of T12 vertebrae.
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case_images: F1
case_images: A 57-year-old obese (body mass index = 39) afebrile male patient, with breathing, constrained disturbances, resident of the province with domestic animals was transferred to our clinic from another hospital, where he was treated with bed rest for 2 weeks for spine fracture (Fig. 1) due to misdiagnosis.
case_images: Sitting position chest X-ray with significant pleural effusion of the left side.
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case_images: F2
case_images: His left osteoarthritic knee was swollen, while chest roentgenogram showed pleural effusion on the left side (Fig. 2).
case_images: Lateral radiogram of thoracolumbar spine with significant deterioration and osteolytic lesions of T12.
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case_images: F3
case_images: Lateral plain roentgenogram (Fig. 3) and computed tomography (CT)-scan (Fig. 4) of the spine revealed destruction of the T12-vertebral body and intervertebral discs T11-T12 and T12-L1 associated with paravertebral abscess formation (Fig. 5).
case_images: Transverse computed tomography scan image of T12, shows the destruction of the vertebrae.
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case_images: F5
case_images: Lateral plain roentgenogram (Fig. 3) and computed tomography (CT)-scan (Fig. 4) of the spine revealed destruction of the T12-vertebral body and intervertebral discs T11-T12 and T12-L1 associated with paravertebral abscess formation (Fig. 5).
case_images: Lateral post-operative radiogram, shows the anterior (cage) and posterior instrumentation.
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case_images: F6
case_images: An expandable titanium mesh cage (TMC) filled with resected rib bone graft was inserted, and the spine was stabilized through a minimally invasive posterior instrumentation (Fig. 6).
case_images: Sagittal computed tomography scan image of 6-month follow-up, shows the fusion and the incorporation of the mesh cage.
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case_images: F7
case_images: Radiograms and CT scan showed a good result of fusion in both sites (Fig. 7 and 8).
case_images: Anteroposterior radiogram of fused knee of 6-month follow-up. The Illizarov device has been removed, and two screws for patella fixation are shown.
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case_images: F8
case_images: Radiograms and CT scan showed a good result of fusion in both sites (Fig. 7 and 8).
case_images: Brain computed tomography scan image with drainage tube due to severe hydrocephalus.
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case_images: F9
case_images: Brain CT scan revealed edema and hydrocephalus that required drainage tube installation (Fig. 9).