Case of The Month – May 2019

A 45-year-old lady came to our hospital with a fracture of her right thigh bone following a simple twisting injury and severe pain in her spine and was not able to sit or even turn in bed. She was in agonising pain. She was fully evaluated with blood tests, PET CT and MRI scans. There was a strong suspicion of cancer in her spine as well as the thigh bone.  She underwent surgery on her thigh bone and on her spine, which allowed us to take a tissue biopsy – as a sample from the site of cancer.  The patient was mobilised with a walker after surgery, and the cancer was diagnosed as Multiple Myeloma – cancer that forms in a type of white blood cell called a plasma cell. Plasma cells help you fight infections by making antibodies that recognise and attack germs.

Following surgery, on her spine, she is almost pain-free and is now walking. She will undergo chemotherapy, which we hope will cure her cancer.

45-year-old non-diabetic female presented with complaints of:

  • Rt. thigh pain and upper back pain since 4-5 months
  • An acute increase in Rt. thigh pain after mild twisting injury 1 day back

  • Neurology: intact
x rays of the spine and fractured thigh bone


The circled area of spine shows cancer of spine

Fixed femur and sent for biopsy

Cancerous bone removed Spine stabilized with rods and screws



MBBS MS (Ortho), FRCS (Edin), M.Ch.(Ortho) Liv. UK

President - Association of Spine surgeons of India

Director &Chief of spine surgery.
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