Figure 4.

Non‐small cell lung cancer in a 55‐year‐old female. (A) T2‐weighted sagittal MRI shows spinal metastasis and pathologic fracture at the T10 level. (B) The patient had multiple metastases in the brain, ovary and multiple bones. Her preoperative revised Tokuhashi score was 5, but she had no available options for systemic treatment at the time of operation for spinal metastasis. (C, D) The patient underwent posterior percutaneous pedicle screw fixation and died 4 months after surgery due to the progression of brain metastasis.