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. 2022 Oct 21;16(5):799–811. doi: 10.31616/asj.2022.0367

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Copyright © 2022 by Korean Society of Spine Surgery

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

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Fig. 1. — A case of metastatic epidural spinal cord compression treated by hybrid therapy (separation surgery and stereotactic radiosurgery [SRS]). (A, B) Preoperative magnetic resonance imaging (MRI) shows severe spinal cord compression at T9. (C, D) MRI at postoperative 2 weeks after separation surgery shows a gap created between the spinal cord and residual tumor. (E, F) Following a single-fraction SRS, which was performed 3 weeks after the separation surgery, the residual tumor was completely ablated. (G, H) At postoperative 2 years, there is no evidence of tumor in the follow-up MRI.