Total en bloc spondylectomy

Total en bloc spondylectomy (TES) is a surgical technique that is indicated for primary malignant bone tumours, aggressive benign tumours and infrequently solitary metastatic lesions. Primary bone tumours in the axial skeleton are rare. It’s estimated they comprise 11% of all primary bone tumours and only 4% of all tumours found in the spine (1,2). Conversely metastatic spine disease is a significant health burden.