CASE 13: Lung cancer with lower spinal metastasis.

• 69-year-old male patient
• Diagnosed with lung cancer and undergoing active treatment.
• The patient presented to us with complaints of pain that started in the back, intensified over time, and radiated to the left side. The patient's pain persisted during rest and occasionally woke him/her up at night. He/she had difficulty performing daily tasks.
• The patient successfully underwent a procedure involving spinal cord release (laminectomy), removal of the cancerous bone (corpectomy), refilling of the resulting cavity (bone cement), and strengthening of the upper and lower vertebrae with screws (posterior instrumentation) due to lower thoracic vertebral metastasis from lung cancer.
• The patient's pain decreased rapidly and effectively, and they returned to their daily activities. • The patient's wound healed in the second week after surgery, and they were referred to radiation oncology for radiotherapy.

Before the surgery: CT scan shows erosion and collapse on the left side of the lower thoracic spine.

During and After Surgery: The procedure involves freeing the spinal cord with laminectomy, filling the removed tumor portion of the spine with bone cement, and reinforcing it with screws.