A 77-year male presented to the Neurosurgery Outpatient Clinic with complaints and [[examination]] findings of [[spinal cord compression]] (SCC) by a mass at the 11th [[thoracic vertebra]] (T11). [[Subtotal resection]], thoracic [[corpectomy]] with [[cage]] [[reconstruction]], [[laminectomy]], and posterior [[spinal stabilization]] were performed. The patient, whose pathology result suggested follicular carcinoma metastases, underwent total thyroidectomy two months after spinal surgery. The pathology of the thyroid was compatible with FV-PTC. Even four years after the total [[thyroidectomy]], the neurological status of the patient was still stable and neither tumoral recurrence nor a new metastases was detected. In the literature, the number of cases with FV-PTC presenting with SCC due to spinal metastases is limited ((Ozger O, Kaplan N. Follicular Variant of Papillary Thyroid Carcinoma Presenting with Thoracic [[Vertebral]] [[metastases]]: A Rare Phenomenon. J Coll Physicians Surg Pak. 2022 Mar;32(3):395-397. doi: 10.29271/jcpsp.2022.03.395. PMID: 35148600.)).