Abstract
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.
Keywords
vertebral column resection - metastatic tumor - surgical technique