Current Case:
A 72-year-old woman presented with neck pain.
MRI (Fig. 1) showed a T2 bright C3-C4 disc with marrow edema. Findings were characteristic of an infectious spondylitis. There was prevertebral edema, but no obvious collection.
She was referred for a CT guided biopsy a month later.
During the counseling session, 3 days prior to the biopsy, a contrast CT scan showed progression of disease with involvement of C4-5 and increase in the prevertebral soft tissue, but without an obvious collection (Fig. 2).
Of all the approaches possible, the retrocarotid approach which I had demonstrated earlier in a patient with a C3 plasmacytoma (Fig. 3) seemed to be the most ideal.
Case 54: C3 Vertebral Body Lesion Biopsy Using a Far Posterolateral Approach
53-years old with a C3 vertebral body lesion biopsied using a posterolateral approach in the supine position.
Bhavin Jankharia