侵犯脊柱的非小细胞肺癌(non-small cell lung cancer,NSCLC),在第7版肺癌TNM分期中,归为T4期肿瘤,过去曾被视为手术禁忌~([1])。随着脊柱外科技术的联合应用,符合肿瘤学原则的整块手术切除得以实现,明显提高了侵犯脊柱的NSCLC患者的生存时间~([2-7])。一、历史沿革肺沟各处的NSCLC均可侵犯脊柱,但胸廓入口处的NSCLC由于其特殊的解剖位置,更容易侵犯脊柱, Spinal non-small cell lung cancer (NSCLC) is classified as a stage T4 tumor in the 7th edition of the TNM staging of lung cancer and was previously considered a taboo surgery (1). With the combined application of spine surgery techniques, a one-piece surgical resection in line with oncology principles is achieved, significantly increasing the survival time of NSCLC patients with spine invasion (2-7). First, the history Focal lung around the NSCLC can be violations of the spine, but the entrance of the thoracic NSCLC due to its special anatomical location, more likely to violate the spine,