Whole-block resection technique for spinal tumors

  Due to the deep location of the spine, the spinal cord in the spinal canal, and the adjacent important large blood vessels outside the spinal canal, surgical treatment of spinal tumors has always been one of the more difficult and challenging surgeries in spinal surgery. The practical experience of modern surgical oncology tells us that only complete resection of the whole tumor is the most effective surgical method to prevent local recurrence. The technique of whole-block resection of spinal tumors originated in Japan about a decade ago and has been gradually accepted and applied by spinal surgeons in various countries. However, due to the high technical requirements of the procedure, only a few spine centers in China are able to perform this procedure. We have performed dozens of such surgeries and have accumulated a wealth of experience. The whole spine tumor resection is mainly applicable to: 1) primary malignant spine tumors (such as chondrosarcoma and chordoma); 2) some primary benign spine tumors but with aggressive growth pattern, such as giant cell tumor of bone; 3) single metastatic spine tumor without metastasis from other sites and expected survival more than 6 months.