Fig 4.

A 51-year-old woman with prior discectomy and interbody fusion. A, Sagittal T1 fat-suppressed postcontrast MR image with evidence of osteomyelitis at C7 (black asterisk), prevertebral inflammation, and epidural abscess (white arrow). Intraprocedural oblique axial (B) and oblique sagittal (C) CT reconstructed images during the biopsy procedure show the biopsy needle placed from a posterolateral approach, through the right C7 pedicle (white arrow) into the vertebral body (black asterisk) and subsequently the C6–C7 disc space (black arrow). Microbiology grew Staphylococcus aureus, and pathology showed osteomyelitis.