Case Report:
A 64-year-old man, known case of Laryngeal cancer undergoing Laryngectomy 12years ago was referred to our clinic with severe Pain at Right inguinal region disabling him for walking. The pain was exacerbating and started from 1 year ago. He had been evaluated by different Specialists. He had taken many analgesics; however, none of them had relieved his chief complaint. His family and social history were insignificant. During physical examination, he had thoracolumbar junction tenderness. Therefore, a lumbosacral plain radiography, lumbosacral Computed Tomography (CT) [figure 1 ] and Magnetic Resonance Imaging (MRI) [figure 2 ] scan was performed. The imaging revealed that he had a L1 vertebral metastasis with accompanying L1 root compression.
As a result, our patient was managed with L1 vertebral laminectomy and root decompression. The spinal lesion was biopsied and sent for pathology. Posterior instrumentation was performed to enhance the spinal stability [figure 3 ]. Interestingly, the day after surgery inguinal pain was relieved significantly and the patient succeeded to go out of bed with a Thoracolumbosacral orthosis (TLSO). the pathology reported metastatic adenocarcinoma showing papillary configuration with pulmonary origin. Our patient was referred to a Radiotherapist for further radiotherapy treatment. He visited our clinic regularly for follow-up at 2 weeks, 6 weeks, 12 weeks 24 weeks and 1 year postoperatively. After 1 year postoperatively, our patient ambulated independently, his inguinal pain was relieved and had no operative complication.