The spine is one of the most frequent site of cancer metastasis, impacting over 30% of cancer patients, mainly in the thoracic and lumbar regions. One of the most severe complications of spinal metastases is spinal cord compression, which may require surgical intervention to relieve neurological deficits. Decompressive laminectomy is a common solution, in which the vertebral laminae are removed through a posterolateral approach. This procedure causes strong spinal instability, requiring subsequent fixation of the affected vertebra, traditionally achieved through posterior multilevel fixation above and below the affected vertebra using pedicle screws and rods. However, this long-segment fixation is highly invasive and clinical reports are recording a growing incidence of mechanical failure.