Figure 3.
Metastatic prostate cancer. (A) Sagittal T1-weighted MRI with contrast shows the metastatic disease in the lumbar spine and the L5 compression fracture; (B) sagittal T1-weighted MRI with contrast (left foraminal view) shows the fractured left corner of the L5 vertebral body (arrow) in the left L4-5 foramen; (C) axial T1-weighted MRI with contrast shows the enhancing L5 vertebral body and stenosis; (D) lateral fluoroscopic image shows the beveled tubular retractor in the left L4-5 foramen; (E) AP fluoroscopic image shows the beveled tubular retract in the left L4-5 foramen; (F) AP fluoroscopic image shows the beveled tubular retractor in the left L4-5 foramen and the ball probe medial to the left L5 pedicle; (G) endoscopic camera view of the endoscopic grasper removing the body (the tumor was soft, and it could be resected without drilling); (H) endoscopic camera view of the decompressed L5 traversing nerve root. AP, anterior-posterior; MRI, magnetic resonance imaging.
