Figure 2.

A 57-year-old patient presented to the ER with deterioration in neurological status in his lower limbs and loss of ability to ambulate. MRI sagittal and axial T2 studies revealed a metastatic lesion in D12 with mechanical pressure on his cord. Urgent surgery was performed with a double approach: a posterior approach for decompression of the cord, and stabilization with pedicular screws for two levels above and two levels below D12. Next, a thoracotomy was performed for a complete corpectomy of D12 and the utilization of a cage. After the surgery, the patient regained the ability to ambulate with complete recovery from neurological deterioration. A pathological specimen revealed a liver source for metastasis.