5. Conclusion
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.
Authors’ Contributions
M. Balke: idea of the study, preparation of the paper, and
data collection. M. P. Henrichs: followup of patients and
collection of literature. G. Gosheger: surgical methods and
evaluation of surgical protocols. H. Ahrens: preparation of
figures and critical discussion of results. A. Streitbuerger:
data collection, followup of patients. M. Koehler: evaluation
of radiological data, arterial embolization. V. Bullmann:
surgical methods and evaluation of outcome. J. Hardes:
supervisor, critical discussion and guidance during writing
process, and evaluation of data