Follicular Carcinoma of Thyroid with Solitary Vertebral Metastasis

A 48-year-old female presented with a one-month history of back pain radiating to both lower limbs, which had worsened over the past three days. The pain had an insidious onset and was gradually progressive, radiating from the upper back to the plantar aspect of the feet. She also reported gait instability for three days, rest pain and sleep disturbances. There was no history of recent trauma, fever, significant weight loss, chronic cough, or night sweats. The patient had a history of thyroidectomy for follicular carcinoma of the thyroid seven years back. The family history was unremarkable.