PDCD1 and adrenal cortex carcinoma: Herein, we are presenting an analysis of a rare case of spinal metastases of adrenocortical carcinoma with paravertebral extension treated with cement augmentation, radiotherapy, radiofrequency ablation of psoas major muscle occupying lesions, right chest wall, liver and kidney recess together with targeted programmed cell death 1 (PD-1) therapy.