一些患有侵袭性胸椎孤立性肿瘤疾病且功能状态完好的年轻患者可能适合接受整块椎体切除手术治疗。进行长节段后路椎弓根螺钉固定。完全切除后弓和肋骨后部。在椎体、胸膜和主动脉之间进行手指钝性解剖，放置软腹瓣膜，然后用 Gigli 锯围绕脊柱前部，以锯切上下椎间盘。单边放置临时棒。将椎体从后韧带上移出，然后通过横向围绕脊髓旋转将其移除。放置可扩张的椎体植入物。后路整块胸椎切除术是一项技术含量高但可实现的手术，它对孤立的肿瘤性脊柱病变具有治疗目的。© 2024。作者获得奥地利 Springer-Verlag GmbH 的独家许可，施普林格自然的一部分。

Some young patients with preserved functional status suffering from aggressive isolated neoplastic disease of the thoracic spine may be eligible from curative en-bloc vertebrectomy surgical treatment.Long-segment posterior pedicle screw fixation is performed. Complete excision of the posterior arch and of ribs posterior aspect is performed. Finger blunt dissection is performed between vertebral body, pleura, and aorta allowing to place a soft abdominal valve and then Gigli saws surrounding the anterior aspect of the spine, in order to saw the upper and the lower discs. Unilateral temporary rod is placed. The vertebral body is dislodged from posterior ligament and then removed by circling laterally around spinal cord. An expandable vertebral implant is placed.Posterior en-bloc thoracic vertebrectomy is a highly technical yet achievable procedure which carries a curative intent for isolated neoplastic spine lesions.© 2024. The Author(s), under exclusive licence to Springer-Verlag GmbH Austria, part of Springer Nature.