Abstract

A 55-year-old female with metastatic colon cancer with a soft tissue mass at S1 extending into the vertebral body and posterior epidural space and neuroforamina at L5-S1 was hospitalized for severe lumbar back and bilateral radicular pain. She was initially managed inpatient with escalating dosing of opioid pain medication with minimal improvement of her symptoms. She was unable to ambulate more than 2-3 steps secondary to weakness and pain.

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