Thoracoscopic spinal surgery is technically feasible and can be perfor
med safely with acceptable rates of morbidity and excellent clinical a
nd neurologic results. Thoracoscopic techniques can be used for anteri
or decompression and internal fixation in cases in which pathologic pr
ocesses lead to instability. This minimally incisional access techniqu
e can achieve the identical extent of spinal exposure, dissection, dec
ompression, and reconstruction as those obtained with open techniques.