case_images: PMC10559495_01
case_images: (a) Plain computed tomography (CT) shows the left transverse process fracture of the L3 vertebra. (arrow: fracture point). (b) CT revealed T10 burst fracture (arrowhead) and multiple osteoporotic fractures.
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case_images: F1
case_images: The thoracolumbar CT showed the left TP fractures from L1 to 3, a T10 chance fracture, and multiple osteoporotic fractures involving the T11, T12, L2, L3, and L4 vertebrae [Figures 1a and b]. The magnetic resonance image also showed that the T10 vertebra was hyperintense on the short-tau inversion recovery study, and low-intensity on T1-weighting images, confirming the diagnosis of an acute T10 fracture [Figures 2a and b].
case_images: (a) Short-tau inversion recovery (STIR) of the thoracolumbar spine reveals the fresh fracture of the T10 vertebra (arrow: T10 vertebra). (b) T1-weighting images (T1WI ) of the thoracolumbar spine reveal the fresh fracture of the T10 vertebra (arrow: T10 vertebra).
case_images: SNI-14-345-g002.jpg
case_images: PMC10559495_01_SNI-14-345-g002.jpg
case_images: F2
case_images: The thoracolumbar CT showed the left TP fractures from L1 to 3, a T10 chance fracture, and multiple osteoporotic fractures involving the T11, T12, L2, L3, and L4 vertebrae [Figures 1a and b]. The magnetic resonance image also showed that the T10 vertebra was hyperintense on the short-tau inversion recovery study, and low-intensity on T1-weighting images, confirming the diagnosis of an acute T10 fracture [Figures 2a and b].
case_images: (a) Postoperative X-ray shows an anterior view of T8-L3 posterior fixation. (b) Postoperative X-ray shows a lateral view of T8-L3 posterior fixation.
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case_images: F3
case_images: PPS fusion under C-arm fluoroscopy [Figures 3a and b]. Postoperatively, when the patient was turned back to the supine position, she suddenly went into shock.
case_images: (a) Contrast-enhanced computed tomography (CT) shows leakage of contrast medium ventral to the left lateral process of the third lumbar vertebra (arrow: Leak point of contrast agent into retroperitoneal space). (b) Contrast-enhanced CT shows a large retroperitoneal hematoma.
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case_images: F4
case_images: The CT angiogram documented the leakage of contrast ventral to the left L3 TP where there was also a large retroperitoneal hematoma [Figure 4]; notably, the left L3 PS was accurately placed within the pedicle [Figure 5].
case_images: Postoperative computed tomography shows that the implanted screw resides within the pedicle of the left third lumbar vertebra.
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case_images: F5
case_images: The CT angiogram documented the leakage of contrast ventral to the left L3 TP where there was also a large retroperitoneal hematoma [Figure 4]; notably, the left L3 PS was accurately placed within the pedicle [Figure 5].
case_images: Selective angiography for the left third lumbar artery shows pseudoaneurysm.
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case_images: F6
case_images: TAE was performed (i.e., using 0.3 mL of 33% n-butyl-2-cyanoacrylate injected from the proximal portion of the lumbar artery) [Figure 6]. The retroperitoneal hematoma was spontaneously absorbed over time, and the patient was transferred to a rehabilitation hospital 3 weeks later, following up with outpatient visits within 3 postoperative months.