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The Journal of Bone and Joint Surgery 79:453-8 (1997)
© 1997 The Journal of Bone and Joint Surgery, Inc.

Osteosarcoma of the Thoracolumbar Spine: Total en Bloc Spondylectomy. A Case Report*

NORIO KAWAHARA, M.D., PH.D.{dagger}, KATSURO TOMITA, M.D., PH.D.{dagger}, TAKUYA FUJITA, M.D., PH.D.{dagger}, KANAZAWA, SOJI MARUO, M.D., PH.D.{ddagger}, SEIJI OTSUKA, M.D., PH.D.{ddagger} and GENTARO KINOSHITA, M.D., PH.D.{ddagger}, NISHINOMIYA, JAPAN

Investigation performed at Kanazawa University, Kanazawa, and Hyogo College of Medicine, Nishinomiya


   Introduction
 
Primary osteosarcoma of the spine is rare. The reported prevalence of osteosarcoma of spinal origin is less than 3 per cent of all osteosarcomas1,2,7; Shives et al., for example, reported such a lesion in only twenty-seven of 1122 patients who had a primary osteosarcoma.

We believe that en bloc resection with a wide margin is the ideal treatment for any osteosarcoma; however, this procedure is very difficult to perform for an osteosarcoma of the spine because of the proximity of the spinal cord and the major vessels. Because it is difficult to excise the spinal tumor completely7,9, the prognosis after treatment of an osteosarcoma of the spine continues to be poor compared with that after treatment of an osteosarcoma in an extremity.

We report the case of a patient who was managed successfully with total en bloc spondylectomy10,11 for a primary osteosarcoma of the spine involving the eleventh . . . [Full Text of this Article]


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