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Updated: Jun 21, 2026

Intraoperative Ultrasound in Spinal Surgery
05:53

Intraoperative Ultrasound in Spinal Surgery

Published on: August 17, 2022

Spinal and paraspinal Ewing tumors.

Daniel J Indelicato1, Sameer R Keole, Amir H Shahlaee

  • 1Department of Radiation Oncology, University of Florida College of Medicine, Gainesville, FL 32206, USA. dindelicato@floridaproton.org

International Journal of Radiation Oncology, Biology, Physics
|July 28, 2009
PubMed
Summary
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Aggressive treatment of spinal Ewing tumors with radiotherapy and surgery offers excellent local control and good neurologic recovery, despite significant toxicity. Further research should refine combined modality therapies and radiotherapy techniques.

Area of Science:

  • Oncology
  • Orthopedic Oncology
  • Radiation Oncology

Background:

  • Spinal and paraspinal Ewing tumors are rare but aggressive malignancies.
  • Optimal treatment strategies require long-term data analysis.

Purpose of the Study:

  • To review the University of Florida's 40-year experience treating spinal and paraspinal Ewing tumors.
  • To evaluate treatment outcomes, including survival, local control, and neurologic recovery.

Main Methods:

  • Retrospective review of 27 patients treated between 1965 and 2007.
  • Analysis of treatment modalities: radiotherapy (RT) alone versus surgery plus RT.
  • Evaluation of patient demographics, tumor characteristics, and treatment toxicities.

Main Results:

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  • 5-year overall survival was 62%, with 71% for nonmetastatic disease.
  • Local control rates were 90% overall, and 89% for nonmetastatic disease.
  • Surgery plus RT yielded 100% local control; 7 of 9 patients with significant neurologic deficits recovered.

Conclusions:

  • Aggressive management with RT, with or without surgery, achieves high local control and good neurologic outcomes for spinal Ewing tumors.
  • High toxicity is associated with aggressive treatment, necessitating careful patient selection.
  • Future efforts should focus on optimizing combined modality treatments and advancing RT techniques.