Compared to the long bones GCT of the axial skeleton has to
be considered as a severe disease with a high local recurrence
rate. Neurological deficits caused by the tumor itself or its
treatment are common. En bloc spondylectomy combined
with embolization is the treatment of choice whenever
possible. In case of inoperability serial arterial embolization
seems to be an alternative not just for tumors of the sacrum
but also of the mobile spine