title: Spinal osteosarcoma.
abstract: Although osteosarcoma represents the second most common primary bone tumor, spinal involvement is rare, accounting for 3%-5% of all osteosarcomas. The most frequent symptom of osteosarcoma is pain, which appears in almost all patients, whereas more than 70% exhibit neurologic deficit. At a molecular level, it is a tumor of great genetic complexity and several genetic disorders have been associated with its appearance. Early diagnosis and careful surgical staging are the most important factors in accomplishing sufficient management. Even though overall prognosis remains poor, en-block tumor removal combined with adjuvant radiotherapy and chemotherapy is currently the treatment of choice. This paper outlines histopathological classification, epidemiology, diagnostic procedures, and current concepts of management of spinal osteosarcoma.
authors.affiliation: Department of Orthopaedics, University Hospital, University of Crete, Heraklion, Greece.
authors.forename: P
authors.initials: P
authors.lastname: Katonis
authors.forename: G
authors.initials: G
authors.lastname: Datsis
authors.forename: A
authors.initials: A
authors.lastname: Karantanas
authors.forename: A
authors.initials: A
authors.lastname: Kampouroglou
authors.forename: S
authors.initials: S
authors.lastname: Lianoudakis
authors.forename: S
authors.initials: S
authors.lastname: Licoudis
authors.forename: E
authors.initials: E
authors.lastname: Papoutsopoulou
authors.forename: K
authors.initials: K
authors.lastname: Alpantaki
keywords: imaging/diagnosis; osteosarcoma; primary tumors; spine