CASE 2: Cervical spinal metastasis of lung cancer (Malignant Mesothelioma)

• 21-year-old male
• Undergoing treatment for malignant mesothelioma.
• The patient presented with complaints of severe neck pain, numbness/weakness in both arms, and difficulty bending forward.
• The patient underwent a successful procedure to correct kyphosis deformity caused by a compression fracture of the seventh cervical vertebra, resulting in instability and nerve compression. This involved removing the tumorous vertebra (corpectomy) via an anterior approach to the neck, placing a titanium cage in the resulting space, and supporting it with a plate. Finally, posterior instrumentation was successfully performed to strengthen the neck with screw fixation via a posterior approach.
• The patient, who experienced no complications after surgery, was referred to radiation oncology for radiotherapy two weeks later.

Before the surgery: CT scan shows spinal cord compression and kyphosis deformity due to a compression fracture in the seventh cervical vertebra.

Post-Surgery: The X-ray and three-dimensional CT scans show the titanium cage that replaced the removed vertebra, the plate and screws in the front, and the instrumentation in the back.