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In this paper, we discuss the clinical course and treatment of each patient and review the current literature on primary bone tumours of the spine. Owing to the subtle roentgenographic findings of primary cervical tumours, we highlight the importance of advanced imaging in the clinical work-up of simple axial neck pain lasting &gt;6\u2005weeks to avoid misdiagnosis of serious pathology.<\/jats:p>","DOI":"10.1136\/bcr-2016-217094","type":"journal-article","created":{"date-parts":[[2016,12,15]],"date-time":"2016-12-15T09:14:46Z","timestamp":1481793286000},"page":"bcr2016217094","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":2,"title":["Rare cause of neck pain: tumours of the posterior elements of the cervical spine"],"prefix":"10.1136","volume":"2016","author":[{"given":"Yoshihiro","family":"Katsuura","sequence":"first","affiliation":[{"name":"University of Tennessee Health Science Center College of Medicine, Chattanooga, Tennessee, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Garrick","family":"Cason","sequence":"additional","affiliation":[{"name":"University of Tennessee Health Science Center College of Medicine, Chattanooga, Tennessee, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"James","family":"Osborn","sequence":"additional","affiliation":[{"name":"University of Tennessee Health Science Center College of Medicine, Chattanooga, Tennessee, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2016,12,15]]},"reference":[{"key":"2025082623125430000_2016.dec15_1.bcr2016217094.1","doi-asserted-by":"crossref","first-page":"843","DOI":"10.1097\/00007632-198711000-00004","article-title":"Primary tumors of the spine","volume":"12","author":"Weinstein","year":"1987","journal-title":"Spine"},{"key":"2025082623125430000_2016.dec15_1.bcr2016217094.2","doi-asserted-by":"publisher","DOI":"10.1097\/00007632-199002000-00018"},{"key":"2025082623125430000_2016.dec15_1.bcr2016217094.3","doi-asserted-by":"crossref","first-page":"451","DOI":"10.1016\/S0363-5023(85)80065-4","article-title":"Illness in the workplace: the challenge of musculoskeletal symptoms","volume":"10","author":"Hadler","year":"1985","journal-title":"J Hand Surg"},{"issue":"10","key":"2025082623125430000_2016.dec15_1.bcr2016217094.4","doi-asserted-by":"crossref","first-page":"S399","DOI":"10.1097\/00007632-199210001-00010","article-title":"Benign tumors of the cervical spine","volume":"17","author":"Levine","year":"1992","journal-title":"Spine"},{"key":"2025082623125430000_2016.dec15_1.bcr2016217094.5","doi-asserted-by":"crossref","first-page":"483","DOI":"10.2106\/00004623-198668040-00002","article-title":"Primary neoplasms of the cervical spine. 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