The patient with a spine tumor

  • Gunnar B. J. Andersson
  • Thomas W. McNeill


Tumors of the spine are comparatively uncommon, but the consequences can be disastrous. Therefore the possibility of a tumor in a patient presenting with low back pain should be kept in mind. Tumors producing lower back pain can be either benign or malignant; they can be either primary or metastatic; they can be in the bone, in the epidural space or inside the thecal sac. Primary tumors of the spine or its contents are rare, but metastatic tumors are not uncommon in older age groups. Metastatic lesions most often involve the bone, less often the epidural space, and rarely metastatic lesions may be intrathecal. On occasion, tumors involving the pelvis can mimic one of the lumbar spine syndromes, and tumors of the lower extremity can mimic sciatica (Boland et al., 1987; Mindell, 1981; Schajowicz, 1981; Sim et al., 1977; Simone and Lawner, 1982; Weinstein and McLain, 1987).


Epidural Space Giant Cell Tumor Osteoid Osteoma Aneurysmal Bone Cyst Spine Tumor 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


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  1. Boland PJ, Lane JM, Sundaresan N (1987) Tumors of the lumbosacral spine. In: Camins M, O’Leary P (eds) The lumbar spine. Raven Press, New York, pp 223–244Google Scholar
  2. Dahlin DC (1978) Bone tumors: general aspects and data on 6,221 cases. CC Thomas, Springfield, OHGoogle Scholar
  3. Huvos HG (1979) Bone tumors: diagnosis, treatment, and prognosis. WB Saunders, PhiladelphiaGoogle Scholar
  4. Keim HA, Reina EG (1975) Osteoid osteoma as a cause of scoliosis. J Bone Joint Surg [Am] 57: 159–166Google Scholar
  5. Kirwan EO’G, Hutton PAN, Ransford AO (1984) Osteoid osteoma and benign osteoblastoma of the spine: clinical presentation and treatment. J Bone Joint Surg [Am] 66: 21–26Google Scholar
  6. Mindell ER (1981) Current concepts review: chordoma. J Bone Joint Surg [Am] 63: 501— 505Google Scholar
  7. Ransford AO, Pozo JL, Hutton PAN, Kirwan EOG (1984) The behaviour pattern of the scoliosis associated with osteoid osteoma or osteoblastoma of the spine. J Bone Joint Surg [Br] 66: 16–20Google Scholar
  8. Russin LA, Robinson MJ, Engle HA, Sonni A (1982) Ewing’s sarcoma of the lumbar spine: a case report of long-term survival. Clin Orthop 164: 126–129PubMedGoogle Scholar
  9. Schajowicz F (1981) Tumors and tumor like conditions of the bone and joints. Springer, New York Heidelberg BerlinGoogle Scholar
  10. Shives TC, Dahlin DC, Sim FH, Pritchard DJ, Earle JD (1986) Osteosarcoma of the spine. J Bone Joint Surg [Am] 68: 660–668Google Scholar
  11. Siegal T, Tiqva P, Siegal T (1985) Vertebral body resection for epidural compression by malignant tumors: results of forty-seven consecutive operative procedures. J Bone Joint Surg [Am] 67: 375–382Google Scholar
  12. Sim FH, Dahlin DC, Stauffer RN, Laws ER (1977) Primary bone tumors simulating lumbar disc syndrome. Spine 2: 65–74CrossRefGoogle Scholar
  13. Simeone FA, Lawner PM (1982) Intraspinal neoplasms. In: Rothman RH, Simone FA (eds) The spine. WB Saunders, Philadelphia, pp 1041–1054Google Scholar
  14. Weinstein JN, McLain RF (1987) Primary tumors of the spine. Spine 12: 843–851PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag/Wien 1989

Authors and Affiliations

  • Gunnar B. J. Andersson
    • 1
  • Thomas W. McNeill
    • 1
  1. 1.Department of Orthopedic SurgeryRush-Presbyterian-St. Luke’s Medical HospitalChicagoUSA

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