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영어

While low back pain is predominantly attributed to benign musculoskeletal disorders, rare cases may involve serious conditions, necessitating careful differential diagnosis. A 70-year-old male patient presented of back pain and bilateral leg pain that had persisted for 5 months. The patient had no history of cancer. The imaging assessment revealed previous compression fractures in L1 and lumbar spinal stenosis at L3, 4, 5. To alleviate the symptoms, the patient underwent caudal epidural block and balloon decompressive epidural neuroplasty, which provided moderate pain relief. After 9 months, however, the patient reported worsening of pre-existing symptoms and the onset of nocturnal left flank pain. A follow-up imaging assessment revealed metastatic spinal tumor with an additional pathologic compression fracture in prostate cancer was confirmed as the primary source of the metastatic spinal tumor,