Management of primary and metastatic spinal tumors.

ìTumors of the spine, though rare, may significantly impact quality of life. The management depends not only on clinical presentation, but also on histology, stage and grade of the tumor. Primary benign tumors usually are a focal problem, however, may be focally aggressive. Primary malignant tumors are always considered aggressive and are managed in a multidisciplinary fashion. Surgical treatment often requires aggressive en bloc resection to maximize potential for cure. Metastatic tumors of the spine may cause a significant impact on the quality of life. In select cases with spine instability, pain and neurologic deficit surgical management is indicated.