Introduction
Primary Ewing’s Sarcoma (EWS) of the spine is extremely rare. It accounts for only 3.5% to 14.9% of all primary bone sarcomas [1,2]. It is characterized by a high proliferative and invasive potential and a confusing variety of imaging manifestations in adult patients [3]. Non-specific signs are often in the first place and the delay from the onset of symptoms to the diagnosis can take months which can worsen the prognosis [4]. Because of the rarity of the spinal localization of primary EWS in adults there is not a well-coded management protocol and a multitude of therapeutic strategies that mimic the management of EWS of the appendicular skeleton have been employed. The therapeutic goal is a complete tumor removal and spinal column stability restoration [1]. The publications of Weinstein, Boriani and Biagini and their surgical staging system (WBB) have been of great interest in this field [5-6]. We report a rare localization of solitary thoracic EWS in an adult patient that was treated with en bloc vertebrectomy.