Abstract
Background
In 1981, Roy-Camille et al. have firstly reported the total en-bloc spondylectomy (TES) through a posterior approach for cases of malignant spine tumors in order to reduce the local recurrence and to increase the patient’s survival. By then, this surgery has been increasingly gaining recognition. However, it requires a high level of technical ability and knowledge of spinal anatomy, physiology, and biomechanics.
Method
Herein, we report the patient’s selection and technique to execute the TES for cases of thoracic metastasis.
Conclusion
This surgery is technically demanding so the patient’s selection requires a careful pre-operative evaluation. However, it can be suggested for patients affected by intracompartmental lesions with a good prognosis since the tumor’s progression is “limited” by local barriers as demonstrated by histological studies.
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Video 1
a case of TES through a single posterior approach in a 39-year-old woman affected by a thoracic metastasis from breast cancer is reported. (MP4 103,547 kb)
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Domenicucci, M., Nigro, L. & Delfini, R. Total en-bloc spondylectomy through a posterior approach: technique and surgical outcome in thoracic metastases. Acta Neurochir 160, 1373–1376 (2018). https://doi.org/10.1007/s00701-018-3572-2
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DOI: https://doi.org/10.1007/s00701-018-3572-2