Conclusion
Primary Ewing’s sarcoma of the thoracic spine is an extremely rare tumor. It is a challenging disease not only to treat but also to diagnosis. A high index of suspicion is needed in patients who present with few or non-specific symptoms. Early diagnosis is essential to obtain better results and improve prognosis. In localized forms of the tumor multi modal treatment involving neo-adjuvant chemotherapy, en bloc vertebrectomy and adjuvant radiotherapy and chemotherapy is required for patient outcome and satisfactory quality of life.