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. 2017 May 31;7(6):572–586. doi: 10.1177/2192568217699208

Figure 5.

Figure 5.

Illustrative case demonstrating a combined anterior-posterior approach completed in 2 stages. (A) Magnetic resonance imaging (MRI) demonstrating moderate cord compression C3-C6. With normal signal within the C3-C6 vertebral bodies with large heterogeneous prevertebral fluid collection at these levels. possibly reflecting severe spondyloarthropathy of dialysis. (B) Lateral views of the cervical spine demonstrate vertebral body deformity, height loss, near complete loss of the disc spaces and endplate irregularity from C3-C6. Anterior osteophytes were also seen at all levels in the cervical spine. (C) Demonstrating cervical corpectomy at C4-C6 with graft placement at C3-C7 levels, and anterior plate fusion extending from C3 to C7. (D) MRI demonstrating postsurgical changes related to anterior cervical corpectomy at C4- C6 and anterior plate fusion from C3-C7. Subsequent decompression of the cervical spine at the operated levels was appreciated. (E) C2-T2 posterolateral fusion with rod and lateral mass and pedicle screw fixation, with lateral mass screws sparing the C4-C6 levels and pedicle screws in the thoracic levels.