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Figure 3: A case of anterior compressive myelopathy due to thick hypertrophied tectorial membrane. (A) Magnetic resonance imaging sagittal T2-weighted sequence of a child operated through posterior fixation and deteriorated (Nurick grade IV, on ventilator). C1–C2 joints were manipulated, reoriented and instrumentation was done. (B, C) After 24 h of the first surgery, excision of hypertrophied tectorial membrane was done and patient improved significantly

Figure 3: A case of anterior compressive myelopathy due to thick hypertrophied tectorial membrane. (A) Magnetic resonance imaging sagittal T2-weighted sequence of a child operated through posterior fixation and deteriorated (Nurick grade IV, on ventilator). C1–C2 joints were manipulated, reoriented and instrumentation was done. (B, C) After 24 h of the first surgery, excision of hypertrophied tectorial membrane was done and patient improved significantly