Partial posterior vertebrectomy for anterior thoracic cord compression

Compression of the anterior aspect of the thoracic cord is a common neurosurgical emergency. Treatment is generally unrewarding. Decompression by the anterior and antero-lateral approach is difficult and time consuming, and decompressive laminectomy offers poor results. It is suggested that in selected cases the removal of a small part posterior of the vertebral body via a posterolateral approach is an appropriate alternative treatment.