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The colon biopsy revealed poorly differentiated adenocarcinoma; the subsequent vertebra excision confirmed the presence of metastatic adenocarcinoma. Upon immunohistochemical assessment, the tumor in the vertebra showed no evidence of CK7 or CK20, but exhibited a positive staining for CDX2. Subsequently, a diagnosis of colorectal cancer with bone metastases was made, and treatment for colorectal cancer was commenced. Posterior stabilization of