CASE 20: Bladder cancer metastasis to the lumbar spine

• 62-year-old male patient
• A patient undergoing treatment for bladder cancer (uroepithelial carcinoma) presented with severe back and leg pain.
• The patient underwent successful surgery to reconstruct the cavity created after corpectomy (removal of the tumorous vertebra) due to a compression fracture and spinal cord compression caused by lumbar spine metastasis, and to strengthen the upper and lower vertebrae by screwing (posterior instrumentation).
• The patient, whose symptoms significantly decreased, was discharged without complications and was referred to radiation oncology for radiotherapy in the second week after surgery.

Before the surgery: MRI and CT scans show a metastatic tumor filling the entire L2 vertebra, extending from the back and pressing on the spinal cord, causing bone damage and collapse.

During and After Surgery: After freeing the spinal cord through laminectomy, the tumorous vertebra is removed and replaced with a titanium cage, followed by screw fixation.
strengthening is observed