All-posterior vertebral column resection for treatment of metastatic tumors

This technical note describes a surgical technique for an all-posterior (ALL-P) vertebral column resection (VCR) in the treatment of metastatic tumors involving the thoracic spine in adults. A case report of an 18-year-old young man with metastatic T4 osteosarcoma is presented along with the surgical technique for ALL-P VCR, tips and tricks, potential complications, and postoperative management. Advantages and disadvantages of alternative operative methods as well as particular implant types used in ALL-P VCR are discussed.