CASE 10: Lung cancer with spinal metastasis

• 56-year-old male
• Undergoing treatment for lung cancer
• The patient presented with complaints of back pain and hunching that had been present for approximately two months but had become very severe in the last week.
• The patient was diagnosed with a severe compression fracture and kyphosis deformity due to thoracic spine metastasis of lung cancer. The procedure involved removing the fractured tumorous vertebra (corpectomy), reconstructing the resulting gap with a titanium cage, and strengthening the upper and lower vertebrae with screws (posterior instrumentation), all of which were successfully performed.
• The patient, whose pain significantly decreased and whose kyphosis improved, was discharged without any problems. • Two weeks after the surgery, the patient's wound healed and stitches were removed, and the patient was referred to radiation oncology for radiotherapy.

Before the surgery: The CT scan shows kyphosis deformity due to a compression fracture.

Post-Surgery: The X-ray shows the placement of a titanium cage in place of the removed fractured and tumorous bone, and the strengthening of the upper and lower vertebrae with screws.