This article gives an overview of the different minimally invasive techniques available for the treatment of primary spinal lesions. The review mentions the indications, benefits, and limitations of these techniques based on the published studies so far. The spinal column represents the most common site for the bony metastatic spread and eventually metastatic disease of the spine.

A thorough understanding of the spectrum of the lesions that can affect the vertebral column, an appropriate treatment, therapeutic interventions, and management are requisites for higher outcomes. Also, a very good understanding of their appearance on the diagnostic imaging modalities (CT, MRI) is essential to initiate the treatment plan. In recent years, clinicians have explored minimally invasive surgical techniques to minimize tissue disruption, postoperative pain, and blood loss, so as to increase the…