A systematic review was performed to determine (1) the effect of incisional procedures prior en bloc resection for primary spine tumors and (2) the rate of achievement of disease-free margins, morbidity, and mortality. There was a clear increase in tumor recurrence after intralesional procedures. Weinstein, Boriani, Biagini staging accurately predicted disease-free margins in the majority of cases. The adverse event profile of en bloc resection is high even at experienced centers.
Go to Full Text of this Article