Abstract
Surgery with instrumentation to the spine has been shown to provide excellent pain relief, stabilization and quality of life in patients with spinal metastasis [1, 4, 12, 13, 15]. Surgery may also offer superior outcomes to other treatments, such as radiation in cases of acute spinal cord compression and neurological deficits [7, 11]. In comparison to degenerative spinal disorders [5], there is little data on the use of minimally invasive surgery (MIS) as an alternative to open approaches for spinal metastatic surgery [9]. The benefits of MIS in spinal surgery compared to open approaches include reduction in muscular trauma, blood loss, cost and hospital stay [3, 6, 10, 14]. Here we present a surgical technique of posterior percutaneous instrumentation with minimal-invasive circumferential spinal cord decompression and subsequent thoracoscopically reconstruction of the anterior vertebral column with an expandable titanium cage.
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