Primary Ewing sarcoma of the sacrum

Primary malignant sarcomas of the spine are extremely rare. Because of biological heterogeneity, these tumors have variable sensitivity to radiation and chemotherapy. Adequate local control through complete tumor removal is an important therapeutic goal. However, aggressive resection of tumors in the spinal column must be coupled with restoration of spinal column stability and minimization of neural deficits. The balance of these factors makes treatment of primary sarcomas of the spine challenging, and dictates an individual approach to treatment. We report a 17 years old lady with chief compliant of low back pain and saddle anesthesia the clinical picture and imaging characteristics were analyzed as well as the management modalities and outcome.