Research
En bloc resection of Ewing sarcoma in the cervical spine according to Enneking’s principles is technically challenging owing to the proximity of important neurovascular structures, the complex local anatomy, and the biomechanical instability of radical resection. The rarity of Ewing sarcoma and variability of its presentation justifies ongoing exploration and compilation of the surgical nuances and subtleties of en bloc resection in the cervical spine.
From the 1Faculty of Medicine, University of New South Wales, Sydney; 2Department of Neurosurgery, Prince of Wales Hospital, Sydney; and 3Department of Orthopaedics, Prince of Wales Private Hospital, Randwick, Australia
Summary
BACKGROUND
En bloc resection of Ewing sarcoma in the cervical spine according to Enneking’s principles is technically challenging owing to the proximity of important neurovascular structures, the complex local anatomy, and the biomechanical instability of radical resection. The rarity of Ewing sarcoma and variability of its presentation justifies ongoing exploration and compilation of the surgical nuances and subtleties of en bloc resection in the cervical spine.
CASE DESCRIPTION
We present a 34-year-old male with Ewing sarcoma of the neck who underwent successful en bloc resection using a novel technique of splitting the laminae and osteomizing the lateral masses under imaging guidance.
CONCLUSIONS
This novel and successful approach of en bloc resection in the cervical spine can add to the spinal surgeon’s repertoire when dealing with complex cervical tumor masses.
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Keywords
Cervical arthrodesis, Cervical spine, En bloc resection, Ewing sarcoma, Spinal surgery
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