CASE 16: Stomach cancer metastases to the back and lumbar spine.

• 54-year-old male patient
• The patient presented to us with complaints of back and lower back pain that increased over time while undergoing treatment for stomach cancer and made it difficult to perform daily activities.
• The patient underwent closed cementation (vertebroplasty) followed by percutaneous screw fixation (posterior instrumentation) for spinal cord compression and fractures due to widespread bone metastases in the thoracic and lumbar vertebrae.
• The patient, who stayed overnight and was discharged without any problems, was referred to radiation oncology for radiotherapy on the 3rd day after the surgery.

Before the surgery: X-rays and CT scans show widespread bone metastases and bone destruction in the thoracic and lumbar spine, resulting in collapse and kyphosis deformity.

Before the surgery: MRI shows metastatic vertebrae filling the entire bone in the thoracic and lumbar spine, extending posteriorly and causing limited compression on the spinal cord.

During the Surgery: The installation of the closed application apparatus and the closing of the entry holes after the screws are inserted are shown in the fluoroscopy control.

Post-Surgery: The X-ray shows that the kyphosis deformity was corrected and the spine strengthened through cementation and screw fixation.