Abstract
Vertebral column involvement is a common occurrence in patients with systemic cancer. Progressive involvement of the pathologic segment can lead to epidural spread and neural element compression, as well as pathologic fracture and de novo deformity. The latter requires anterior column reconstruction. Modern minimally invasive approaches, such as the mini-open lateral retropleural approach and mini-open transpedicular approach, allow circumferential decompression and reconstruction to be more safely achieved in this medically frail population. Here we provide a primer on minimally invasive approaches to corpectomy and reconstruction for vertebral column metastases.
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