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  Indian J Med Microbiol
 

Figure 1: Images of a 40-year-old male. (a) T2-weighted magnetic resonance imaging showing evidence of multilevel spinal cord compression by osteophytes and buckled ligamentum flavum. (b) Computed tomography scan showing no evidence of atlantoaxial instability. (c) Magnetic resonance imaging cut passing through the facets showing type 2 atlantoaxial facetal instability. (d) Postoperative computed tomography scan. No bone decompression is seen. (e) Computed tomography scan cut passing through the facets showing C1-2, 2-3, 3-4, 4-5, and 5-6 fixation. (f) Postoperative magnetic resonance imaging 6 months after the surgery shows reduction in the extent of neural compression by the osteophytes and bulging ligamentum flavum

Figure 1: Images of a 40-year-old male. (a) T2-weighted magnetic resonance imaging showing evidence of multilevel spinal cord compression by osteophytes and buckled ligamentum flavum. (b) Computed tomography scan showing no evidence of atlantoaxial instability. (c) Magnetic resonance imaging cut passing through the facets showing type 2 atlantoaxial facetal instability. (d) Postoperative computed tomography scan. No bone decompression is seen. (e) Computed tomography scan cut passing through the facets showing C1-2, 2-3, 3-4, 4-5, and 5-6 fixation. (f) Postoperative magnetic resonance imaging 6 months after the surgery shows reduction in the extent of neural compression by the osteophytes and bulging ligamentum flavum