[Thoracic Spine Metastases: Interdisciplinary Surgical Strategies Between Thoracic and Neurosurgery]

Thoracic spine metastases are a common manifestation of advanced malignancies and may in some cases require interdisciplinary management. Due to the complex anatomy of the thoracic region, particularly the proximity to mediastinal organs, major vessels, and the spinal cord, precise preoperative planning and surgical execution are essential. Thoracic surgical expertise is crucial for mobilising intrathoracic structures, securing vascular control, and establishing a safe anterior surgical corridor, especially in diseases involving thoracic organs and the spine. Neurosurgery focuses on decompression of neural elements, tumour resection, and biomechanical stabilisation of the spine. Different disciplines must work closely together, often simultaneously in the operating theatre, in order to achieve surgical, functional, and oncological goals. Advances in intraoperative imaging, navigation, robotics, and minimally invasive techniques have led to more individualised, safer, and more effective procedures than previously possible. Furthermore, the modern treatment of spinal metastases requires integration of oncology, radiation therapy and pain medicine. Studies demonstrate that structured, interdisciplinary care improves neurological outcomes, enhances quality of life, and facilitates timely continuation of systemic therapies. This article highlights the surgical intersection between thoracic and neurosurgery in the management of thoracic spine metastases, analyses established and emerging techniques, and illustrates how technological and organisational innovations enable high-quality, patient-centred treatment strategies.