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Some spine extradural tumors can be able to compress the anterior and posterior aspect of the cord canal and the correct approach allows the total decompression as well as the final construction and stabilization. Patient and Methods: We present the case of a 17-year-old woman with conus medullaris syndrome symptoms. We initiate the posterior approach to achieve decompression, a tumor diagnosis and initial stabilization with transpedicular screws, and for the second time a lumbar corpectomy with extreme lateral miniopen approach to complete the tumor resection, and final 360 grades construction to allow total stability and fusion.Results   This patient was discharged after 46 hours of surgery without neurological deficit.Conclusion   The mini open lateral and posterior approaches are able to work together conserving the basic principles of total decompression and stabilization with short hospitalization and quick return to normal activities.

Mini Open Extreme Lateral Lumbar Corpectomy to Complete 360 Decompression and Stabilization due to Malignant Fibrous Histiocytoma