Thoracoabdominal Approach for Tumors of the Thoracolumbar Spine

  • A. Karim Ahmed
  • Daniel M. Sciubba
  • Feng Wei


Due to the complex anatomy and biomechanics of the region, surgery for tumors of the thoracolumbar spine may be particularly challenging. This chapter describes the anatomic considerations, surgical decision-making, planning, and operative techniques required for the treatment of neoplastic disease of the thoracolumbar spine. Additionally, we herein describe the case of a large recurrent extrapleural solitary fibroma in a 63-year-old female with normal neurologic function. The left-sided paraspinal tumor, from T9 to L2, was resected en bloc with wide margins—in order to offer the best prognosis and minimize local recurrence. This case illustrated that with careful preoperative planning and preparation, a staged anteroposterior procedure could be safely performed for en bloc resection of large primary tumors involving the thoracolumbar region.


Extrapleural solitary fibrous tumor En bloc Spine Rhoracolumbar Tumor 


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© Springer Nature Switzerland AG 2019

Authors and Affiliations

  1. 1.Department of Neurosurgery, The Johns Hopkins HospitalBaltimoreUSA
  2. 2.Peking University Third Hospital, Department of OrthopedicsBeijingChina

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