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A 43-year-old patient with quadriparesis and a history of hepatocellular carcinoma. Preoperative magnetic resonance image showing an expansile bony lesion involving the body and posterior elements of the C6 vertebra with marked compression of the spinal cord (A). He underwent radical tumor resection including the body of C6 and anterior and posterior reconstruction at the level of C3-T2 using a titanium mesh and plate and the polyaxial screw-rod system (B), (C).
