Minimally invasive circumferential decompression and stabilization for metastatic vertebral column disease

Zach Pennington, Andrew T. Schilling, Ethan Cottrill, Andrew Hersh, Bethany Hung, Daniel M. Sciubba

Research output: Contribution to journalArticlepeer-review

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.

Original languageEnglish (US)
Article number100852
JournalSeminars in Spine Surgery
Volume33
Issue number1
DOIs
StatePublished - Mar 2021

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

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