Abstract
1. A review of nineteen cases of malignant spinal tumour treated surgically is presented.
2. Four cases are presented in detail.
3. The results in terms of survival are not assessed, because the effect of operation on survival cannot be estimated in a small series without controls. However, if the patient does survive for a considerable time, the value of operation can be assessed in terms of its contribution to the quality of survival, in relieving pain or improving or protecting neurological function.
4. The limitations of laminectomy are compared with the possible advantages of anterior approaches.