Introduction
Primary Ewing’s Sarcoma (EWS) of the spine is extremely rare. It
accounts for only 3.5% to 14.9% of all primary bone sarcomas
[1,2]. It is characterized by a high proliferative and invasive
potential and a confusing variety of imaging manifestations in adult
patients [3]. Non-specific signs are often in the first place and
the delay from the onset of symptoms to the diagnosis can take months
which can worsen the prognosis [4]. Because of the rarity of the
spinal localization of primary EWS in adults there is not a well-coded
management protocol and a multitude of therapeutic strategies that mimic
the management of EWS of the appendicular skeleton have been employed.
The therapeutic goal is a complete tumor removal and spinal column
stability restoration [1]. The publications of Weinstein, Boriani
and Biagini and their surgical staging system (WBB) have been of great
interest in this field [5-6]. We report a rare localization of
solitary thoracic EWS in an adult patient that was treated with en bloc
vertebrectomy.