The use of electro-physiological monitoring is used before and during the operation to help observe spinal activity. After a midline incision is made along the spinal area, the soft tissue areas are dissected to further expose tumor area. The dura of the spine is opened to expose connectivity between nerves and spinal cord, allowing the surgeon to then remove the tumor. The dura is then tightly sealed to avoid cerebrospinal fluid to enter the spinal cord region. Spinal tissues are then sealed up accordingly, with the following of skin closure sealed with appropriate sutures. The final procedure involves the anterior reconstruction of the area by inserting a cage among the spinal area, thus stabilizing the cage with removing and replacing necessary rods to adjust the stabilization stage of the surgical procedure.