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A 63-year-old male patient with Adenoid cystic carcinoma metastasis to T12. Tokuhashi score was 10, and Tomita score was 5. (A) T1- and T2-weighted magnetic resonance imaging - Tumor involving the vertebral body and pedicle, but there was no neurologic deficit and the general condition was good. (B) Total spondylectomy was done using combined anterior and posterior approach. (C) Plain radiograph at 2 years follow-up after the operation.
