title: Surgery for primary vertebral tumors: en bloc versus intralesional resection.
abstract: The decision to select en bloc resection or intralesional resection needs to be tailored to each individual patient and circumstance. Though complete resection with long-term progression-free survival is the goal, it is not always feasible, nor advisable, depending on what the patient's expectations are and what the risk of complications may be. However, in cases with favorable circumstances and consensus agreement between physicians, surgeons, and patients, aggressive en bloc removal of spinal tumors can be extremely valuable and may offer the only chance at cure for otherwise devastating malignancies.
authors.affiliation: Department of Neurosurgery, Johns Hopkins Hospital, 600 North Wolfe Street, Meyer 7-109, Baltimore, MD 21287, USA. jchi529@yahoo.com
authors.forename: John H
authors.initials: JH
authors.lastname: Chi
authors.forename: Daniel M
authors.initials: DM
authors.lastname: Sciubba
authors.forename: Laurence D
authors.initials: LD
authors.lastname: Rhines
authors.forename: Ziya L
authors.initials: ZL
authors.lastname: Gokaslan
mesh_terms: D006801:Humans; D009364:Neoplasm Recurrence, Local / Q000517:prevention & control / Q000601:surgery; D019635:Neurosurgical Procedures / Q000379:methods*; D011183:Postoperative Complications / Q000517:prevention & control; D011300:Preoperative Care / Q000592:standards; D019651:Plastic Surgery Procedures / Q000379:methods / Q000639:trends; D018570:Risk Assessment; D013119:Spinal Cord Injuries / Q000517:prevention & control; D013125:Spinal Neoplasms / Q000145:classification / Q000473:pathology / Q000601:surgery*; D013131:Spine / Q000473:pathology / Q000601:surgery*