Cornelis G. Vos, MD, Koen J. Hartemink, MD, Tim U

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Severe Kyphosis With Spinal Cord Compression After Resection of a Superior Sulcus Tumor Cornelis G. Vos, MD, Koen J. Hartemink, MD, Tim U. Jiya, MD, PhD, Ricardo E. Feller, MD, PhD, Jan W.A. Oosterhuis, MD, PhD, Marinus A. Paul, MD, PhD The Annals of Thoracic Surgery Volume 94, Issue 3, Pages 1003-1006 (September 2012) DOI: 10.1016/j.athoracsur.2012.01.056 Copyright © 2012 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 Magnetic resonance image demonstrating a superior sulcus tumor in the right upper lobe with invasion of the first and second thoracic vertebrae and the chest wall (rib 1-3). The Annals of Thoracic Surgery 2012 94, 1003-1006DOI: (10.1016/j.athoracsur.2012.01.056) Copyright © 2012 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 The red lines demonstrate the extent of the resection performed on the first and second thoracic vertebrae. The Annals of Thoracic Surgery 2012 94, 1003-1006DOI: (10.1016/j.athoracsur.2012.01.056) Copyright © 2012 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 Magnetic resonance image 18 months after surgery showing a remarkable kyphosis of 60 degrees at the Th1-2 level with spinal cord compression (arrow). The Annals of Thoracic Surgery 2012 94, 1003-1006DOI: (10.1016/j.athoracsur.2012.01.056) Copyright © 2012 The Society of Thoracic Surgeons Terms and Conditions

Fig 4 Three-dimensional reconstruction of the cervico-thoracic spine computed tomography demonstrating the kyphosis of 60 degrees at the Th1-2 level. The Annals of Thoracic Surgery 2012 94, 1003-1006DOI: (10.1016/j.athoracsur.2012.01.056) Copyright © 2012 The Society of Thoracic Surgeons Terms and Conditions

Fig 5 Postoperative roentgenogram demonstrating the dorsal and ventral spondylodesis instrumentation. The Annals of Thoracic Surgery 2012 94, 1003-1006DOI: (10.1016/j.athoracsur.2012.01.056) Copyright © 2012 The Society of Thoracic Surgeons Terms and Conditions