Fig. 16.

A case of 70-year-old male patient who visited our hospital with severe neck pain and radiating pain to upper extremities as a chief complaint. The patient had a history of undergoing surgery 5 years ago due to liver cancer. According to plain radiograph (A) and T1- and T2-weighted magnetic resonance imaging photo, (B) pathologic fractures of C4 and C6 vertebral bodies are observed. Tokuhashi score was 6, and Tomita score was 7. After anterior decompression, bone cement augmentation and internal fixation using plates were performed.