CASE 1: Lung cancer with cervical spine metastasis.

• 58-year-old female patient
• A patient being followed up for lung cancer presented with complaints of rapidly increasing neck pain, numbness and weakness in the arms within a short period of time.
• The patient has a fracture due to metastasis to the upper cervical spine, involving the spinal cord and nerves.Due to root compression, the tumorous bones were removed by first entering the neck from the front during the same operation.After the removal (two-level corpectomy), the resulting gap was reconstructed with implants (titanium cage and plate), and then posterior instrumentation (strengthening with screws via the posterior approach) was successfully performed.
• Rapid and effective pain reduction was achieved in the patient after surgery, and nerve compression symptoms regressed.
• The patient, whose surgical wound had healed in the second week, was referred to radiation oncology for radiotherapy.

Before the surgery: MRI shows a large tumor mass and spinal cord compression, while CT scan reveals bone damage and instability.

Post-Surgery: The image shows the placement of a titanium cage in the space created after the removal of the tumorous vertebrae, and its reinforcement with a plate from the front and screws/rods from the back.