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  Indian J Med Microbiol
 

Figure 1: Case 1 (A–H) Radiographs, MRI, and CT scans of a 59-year-old man with metastatic renal cell carcinoma showing pathological fracture of L1 with involvement of the left pedicle at D12 and L1. ESCC is grade 2 and tumor occupancy within the L1 body is >50%. (I): The Epidural Spinal Cord Compression scale: Grade 0: Intracompartmental osseous lesion without epidural disease. Grade I a–c: Minimal epidural disease with no spinal cord compression. Grade 2: high-grade ESCC with spinal cord displacement/compression but with visible CSF. Grade 3: high-grade ESCC with spinal cord displacement/compression and no visible CSF. (J and K) Postoperative X-rays following a total intralesional vertebrectomy and reconstruction for metastatic RCC (L) 24-month follow-up X-ray showing excellent position of implants without any recurrence of tumor

Figure 1: Case 1 (A–H) Radiographs, MRI, and CT scans of a 59-year-old man with metastatic renal cell carcinoma showing pathological fracture of L1 with involvement of the left pedicle at D12 and L1. ESCC is grade 2 and tumor occupancy within the L1 body is >50%. (I): The Epidural Spinal Cord Compression scale: Grade 0: Intracompartmental osseous lesion without epidural disease. Grade I a–c: Minimal epidural disease with no spinal cord compression. Grade 2: high-grade ESCC with spinal cord displacement/compression but with visible CSF. Grade 3: high-grade ESCC with spinal cord displacement/compression and no visible CSF. (J and K) Postoperative X-rays following a total intralesional vertebrectomy and reconstruction for metastatic RCC (L) 24-month follow-up X-ray showing excellent position of implants without any recurrence of tumor