Spine Surgery pp 513-522 | Cite as

Primary Bone Tumour Indication and Planning of En Bloc Resection

  • Dominique A. Rothenfluh
  • Etienne Bourassa-Moreau


Challenging diagnosis, complex decision making, technically demanding operative intervention and major risks for morbidity and mortality puts management of spinal primary tumour at the highest level of surgical complexity. The aim of en-bloc resection is to remove the tumor while minimizing the risk of local recurrence and provide a chance for cure. This chapter aims to illustrate patient selection, workup and surgical planning of the en-bloc resections for primary spinal tumours.


  1. 1.
    Boriani S, Gasbarrini A, Bandiera S, Ghermandi R, Lador R. En bloc resections in the spine: the experience of 220 patients during 25 years. World Neurosurg. 2017;98:217–29.CrossRefGoogle Scholar
  2. 2.
    Boriani S, Weinstein JN, Biagini R. Primary bone tumors of the spine. Terminology and surgical staging. Spine (Phila Pa 1976). 1997;22(9):1036–44.CrossRefGoogle Scholar
  3. 3.
    Chan P, Boriani S, Fourney DR, Biagini R, Dekutoski MB, Fehlings MG, Ryken TC, Gokaslan ZL, Vrionis FD, Harrop JS, Schmidt MH, Vialle LR, Gerszten PC, Rhines LD, Ondra SL, Pratt SR, Fisher CG. An assessment of the reliability of the Enneking and Weinstein-Boriani-Biagini classifications for staging of primary spinal tumors by the Spine Oncology Study Group. Spine (Phila Pa 1976). 2009;34(4):384–91.CrossRefGoogle Scholar
  4. 4.
    Dreghorn CR, Newman RJ, Hardy GJ, Dickson RA. Primary tumors of the axial skeleton. Experience of the Leeds Regional Bone Tumor Registry. Spine (Phila Pa 1976). 1990;15(2):137–40.CrossRefGoogle Scholar
  5. 5.
    Enneking WF, Spanier SS, Goodman MA. A system for the surgical staging of musculoskeletal sarcoma. Clin Orthop Relat Res. 1980;(153):106–20.Google Scholar
  6. 6.
    Fisher CG, Saravanja DD, Dvorak MF, Rampersaud YR, Clarkson PW, Hurlbert J, Fox R, Zhang H, Lewis S, Riaz S, Ferguson PC, Boyd MC. Surgical management of primary bone tumors of the spine: validation of an approach to enhance cure and reduce local recurrence. Spine (Phila Pa 1976). 2011;36(10):830–6.CrossRefGoogle Scholar
  7. 7.
    Ogungbemi A, Elwell V, Choi D, Robertson F. Permanent endovascular balloon occlusion of the vertebral artery as an adjunct to the surgical resection of selected cervical spine tumors: a single center experience. Interv Neuroradiol. 2015;21(4):532–7.CrossRefGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Dominique A. Rothenfluh
    • 1
  • Etienne Bourassa-Moreau
    • 1
  1. 1.Oxford University Hospitals NHS Foundation Trust, Nuffield Orthopaedic CentreOxfordUK

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