“…In case of spinal stenosis due to tumor the decompression of neural structures is reached via laminectomy and tumor debulking [13,29,43,46,47,50,[52][53][54][55] . According to Tomita et al [19] palliative anterior surgery with vertebral body replacement (VBR) [ Figures 1-3] can be recommended in patients with a life expectancy > 12 months [46,47,58,59] . Highly invasive surgical options like en-bloc spondylectomy in Tomita technique or vertebral column resection with a mandatory 360 reconstruction [ Figure 4] mark curative treatment options in case of solitary spinal metastases [46,47,58,59] .…”