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Fig. 1 | BMC Musculoskeletal Disorders

Fig. 1

From: Minimally invasive separation surgery for the treatment of spinal metastases with small incision and freehand pedicle screw fixation: the surgical learning curve

Fig. 1

A representative case: a 52-year-old man with L2 hepatic carcinoma metastasis. A-D The T2and T1-weighted sagittal (A and B) and axial (C and D) MRI images showed a destructive lesion involving L2 with high-grade ESCC (Grade 2). EF Photographs showing the 5–6 cm incision in the midline for tumor debulking and spinal cord decompression (E). Another four small incisions (1.5-2 cm) were made for pedicle screws and rods implantation (F). G-H The sagittal (G) and axial (H) CT images demonstrated pedicle screws and rods position and PMMA after minimally invasive separation surgery (MISS)

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