CASE 14: Lung cancer metastasis to the back and lumbar spine.

• 56-year-old male patient
• Undergoing treatment for lung cancer diagnosis.
• The patient presented with severe back and lower back pain and difficulty walking. • Due to instability and spinal cord compression caused by severe bone damage due to thoracic and lumbar spine metastases, a successful procedure was performed involving spinal cord release (laminectomy) at both levels, removal of the cancerous bone (corpectomy), refilling the resulting cavity (bone cement), and strengthening of the upper and lower vertebrae with screws (posterior instrumentation).
• 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 bone damage and collapse, and MRI shows spinal cord compression.

During and After Surgery: The spinal cord at both levels
Post-laminectomy surgery involves freeing the removed tumor portion of the spine, filling it with bone cement, and strengthening it with screws.