Tumours of the Cervical Spine

Abstract

Neoplasms of the cervical spine are uncommon, and benign lesions are predominant in the first two decades of life. Malignant lesions in the paediatric cervical spine are most commonly haematological in origin (i.e. usually secondary to leukaemia). Based on the anatomical area of involvement, they could be broadly differentiated into two groups—those affecting (i) anterior and (ii) posterior bony elements. Based on the neural structures affected, they are broadly categorized into two groups—(i) intradural and (ii) extradural lesions. This chapter provides a concise and comprehensive overview of common paediatric cervical spine tumours with details of clinical presentation, radiological/imaging characteristics, natural history, and evidence-based treatment recommendations. A brief overview of principles of workup, evaluation, and potential complications encountered during the course of treatment is also presented, providing insight to aid relevant healthcare professionals in the management of such challenging and uncommon pathologies.