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 ¹⁾.