Figure 3.

Non‐small cell lung cancer in a 61‐year‐old man. (A) T2‐weighted sagittal MRI shows spinal metastasis and pathologic fracture at the L4 level. (B). The patient had multiple metastases in brain and multiple bones. Although his preoperative revised Tokuhashi score was 5, the patient had various options for systemic treatment because the spinal metastasis was his first clinical manifestation of the malignancy. (C, D) The patient underwent partial anterior corpectomy of L4 combined with posterior stabilization and survived 15 months after the operation.