We aim to report a patient with vertebral brown tumor in the context of primary hyperparathyroidism presented with shoulder pain. This is the first report of C5 involvement by Brown tumor in a primary hyperparathyroid patient and emphasizes the consideration of cervical vertebral evaluation in patients with persistent shoulder pain.

We report a spinal metastatic patient with an atypical presentation of inguinal pain. He was managed with L1 laminectomy and posterior instrumentation. After the surgery, his pain was significantly relieved. This study underscores the importance of spinal examination in those with a known tumor.