Overview of the management of primary tumors of the spine

Study design Narrative review. Objective To provide a narrative review for diagnosis and management of Primary spine tumors. Methods A detailed review of literature was done to identify relevant and well cited manuscripts to construct this narrative review. Results Primary tumors of the spine are rare with some racial differences reported. There are numerous adjuvant technologies and developments that influence the way we currently manage these tumors. Collimated radiation allows for heavy dosage to be delivered and have been reported to give good local control both as an adjuvant and neoadjuvant setting. These have made surgical decision making even more intricate needing a multicentric approach. Dedicated care has been shown to significantly improve health quality of life measures and survival. Conclusion While, it is beyond the scope of this paper to discuss all primary tumors subtypes individually, this review highlights the developments and approach to primary spine tumors.