Bone metastasis is usually a late manifestation in patients with germ cell tumors and a poor prognosis site. We report a case of 29-year-old man with a nonseminomatous germ cell tumor who presented with a single metastatic site in a vertebrae with spinal compression. He was treated with a left orchiectomy and four cycles of chemotherapy containing bleomycin, etoposide, and cisplatin. He attained complete remission.