En bloc vertebrectomy: A radical technique for spinal metastases but rarely used

Abstract

Introduction and importanceTotal vertebrectomy En bloc by posterior approach is proposed for primary or secondary single-site malignant tumors of the spine to reduce local recurrence and increase patient survival. This type of surgery is gaining increasing recognition. However, it requires a high level of technical skill and knowledge of the anatomy, physiology and biomechanics of the spine. Case presentationWe present here a case of a patient with a single thoracic metastasis with neurological deficit treated by total vertebrectomy via the posterior approach, using a cage and pedicle screws in situ. DiscussionThis surgery is technically demanding, and patient selection therefore requires careful preoperative evaluation. ConclusionThe reproducibility of the En bloc vertebrectomy method documented in the literature is demonstrated and supported by our case.