Spinal column tumors are rare in children and young adults, accounting for only 1% of all spine and spinal cord tumors combined. They often present diagnostic and therapeutic challenges. In this article, the authors review the current management of primary osseous tumors of the pediatric spinal column and highlight diagnosis, management, and surgical decision making.
Keywords: CT = computed tomography; MRI = magnetic resonance imaging; NSAID = nonsteroidal antiinflammatory drug; RANKL = receptor activator of the nuclear factor–kappa B ligand; aneurysmal bone cyst; eosinophilic granuloma; giant cell tumor; osteoblastoma; osteochondroma; osteoid osteoma; osteosarcoma.