Vertebrectomy with En Bloc Resection of the Posterior Chest Wall

Composite resection of vertebrae with the posterior chest wall is technically challenging and highly morbid. Improvements in surgical technique and spinal reconstruction have enabled composite resection procedures to be performed safely in highly selected patients with potential for long-term cure. Composite resections frequently require multiple or extended incisions and have high rates of complications. Chest wall reconstruction is performed for large defects not covered by the scapula. Improvements in spinal instrumentation have allowed for resection and stabilization of multiple vertebral levels. This article reviews current trends in management and outcomes for composite resections of the vertebrae and chest wall.