LAUSR

We describe the case of a 57 year old female with renal cell cancer and metastatic disease to the spine. The patient presented to our institution with progressive lower extremity weakness and a T9 pathologic fracture with bony and tumor retropulsion into the canal. In addition, there was spinal cord compression from a chronic appearing T8-9 herniated disc fragment. The patient was consented for surgery. In this operative video, we demonstrate the intradural discectomy following a T7-T11 posterior instrumented fusion, decompression, and transpedicular tumor resection. The dorsal and ventral dural closure was reinforced with compressed gelfoam and dural sealant.