History of giant cell tumor status post multiple resections to spine, presenting with severe back pain and lower extremity weakness There is evidence of prior postsurgical changes with laminectomy and spinal fusion hardware extending from the T9 to the L3 levels, counting from the lumbosacral junction. There is corpectomy of T12 with placement of strut graft as well as partial posterior corpectomy of the L1 vertebral body. Noted is diminutive disc space at T2-T3 which is likely developmental. There is also abnormal morphology of the T2 vertebral body with suggestion of a block vertebra.Susceptibility artifact from hardware slightly limits evaluation. There is however no evidence of cord compression or high-grade spinal canal stenosis in the cervical, thoracic, or lumbar spine.
This is a limited exam specific for the exclusion of cord compression only and does not exclude more subtle lesions such as intrinsic cord abnormalities. No evidence of high-grade spinal canal stenosis in the cervical, thoracic, or lumbar spine. No evidence of cord compression.Postsurgical changes and developmental anomalies as above.