The technique of using [[percutaneous posterior fixation]] combined with the anterior or lateral approach is the most accepted option when surgically treating [[lumbar spine metastases]]. However, there are limitations to these approaches. For instance, it is extremely difficult to perform minimally invasive lateral corpectomies at L4 and L5. 

TTis approach necessitates a long incision and extensive muscular dissection, which are hazards when wound healing is tenuous.