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1Introduction

Anterior fixation is a useful technique for anterior decompression and reconstruction of the anterior column.

Anterior stabilization can be used without posterior stabilization in patients without tumor extension into the posterior element.

In very rare cases when resection of both anterior and posterior column is required in the surgical management of metastatic spine disease, bilateral posterior fixation above and below the anterior construct should be used.

From anterior, direct decompression from tumor or bone material can be performed directly without mobilization of the neurological structures. Visualization of the dura allows direct confirmation of complete decompression.