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FIG 2. Breast cancer with multiple spinal involvements.
A, Lateral radiograph obtained after placement of the needle shows its oblique trajectory and the approach to C2. Note that the needle is placed at the central part of the vertebral body.
B, Lateral radiograph, obtained after percutaneous vertebroplasty, shows a satisfactory opacification of the vertebral body but also a cement leakage (arrows).
C, Axial CT scan, obtained after percutaneous vertebroplasty, shows cement leakage in the epidural space (short arrow), as well as leakage close to the C1-C2 joint (long arrow). The latter caused a transient occipital neuralgia.
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