SYNOPSIS A neurilemmoma presented as an expanding lesion of the bodies of C6 and C7 vertebrae and caused local neurological signs together with a spastic paraparesis. This tumour was treated by preliminary posterior fusion, followed by its complete removal via an anterior approach and stabilization by anterior spinal fusion. Other cases in the literature are reviewed and discussed.Solitary lesions affecting the vertebral bodies are uncommon and present problems in regard to both diagnosis and treatment. This case report describes how such a lesion was investigated and found at operation to be a neurilemmoma probably arising from within the vertebral body. The