CASE 5: Testicular cancer with spinal metastasis

• 29-year-old male patient
• He presented with complaints of neck pain and numbness/weakness in his left arm while undergoing treatment for testicular cancer.
• The patient successfully underwent a procedure involving anterior corpectomy (removal of the tumorous vertebra) and placement of a titanium cage in the resulting space, supported by a plate, followed by posterior instrumentation (strengthening with screws) due to a fracture and left nerve root compression caused by metastasis to the first thoracic vertebra.
• The patient, who experienced no complications after surgery, was referred to radiation oncology for radiotherapy two weeks later.

Before the surgery: MRI shows bone metastasis in the first thoracic vertebra and left nerve root compression.

Before the surgery: CT scan shows bone destruction and fracture due to metastasis.

During and After Surgery: The X-ray shows the titanium cage that replaced the removed vertebra, the plate and screws at the front, and the instrumentation at the back.