Surgical technique and outcomes for tumors simultaneously involving the thoracic vertebrae and posterior chest wall

Tumors that simultaneously involve the thoracic vertebrae and posterior chest wall are rare and pose clinical challenges for musculoskeletal oncologists. The optimal treatment modality for these tumors remains poorly defined. This study aimed to explore the clinical outcomes of patients treated at our center and determine effective multidisciplinary therapeutic approaches. Between May 2019 and December 2023, 26 patients with tumors involving both the thoracic vertebrae and posterior chest wall who received multidisciplinary therapy centered on en bloc resection and reconstruction surgeries at our center were identified from the hospital database. Patient demographics, tumor characteristics, treatment history, surgical outcomes, and complications were collected from electronic medical records. En bloc resection was successfully performed in all patients, and none underwent intralesional resection. Wide or marginal margins were achieved in all cases. The median follow-up duration was 14 months (range 6 − 42 months). Local recurrence was recorded in only one patient. Five patients experienced wound complications that were successfully treated with debridement and antibiotics. Respiratory complications were observed in five patients, who recovered after respiratory function exercises combined with antibiotics. No neurological complications, implant failure, hemothorax, or thrombosis were observed during follow-up. Thorough preoperative evaluation and accurate pathological diagnosis are important for tumors involving both the thoracic vertebrae and posterior chest wall. Additionally, comprehensive treatments centered on en bloc resection and reconstruction surgeries are feasible and effective.