Purpose or Case Report: Pediatric spine tumors and their mimics present unique diagnostic challenges due to overlapping clinical presentations and imaging features. Accurate differentiation between neoplastic lesions and non-neoplastic conditions such as infections, inflammatory disorders and others is crucial to avoid misdiagnosis and ensure timely, appropriate treatment. This pictorial essay provides a comprehensive visual overview of common and rare pediatric spine tumors, including ependymomas, astrocytoma's, and bone tumors like osteoid osteoma, giant cell tumour as well as their mimics such as vertebral osteomyelitis, spinal tuberculosis, hemangioma and syringomyelia.
Through a series of high-quality case examples, we highlight key imaging characteristics across various modalities, including MRI , CT and US that help distinguish these entities. We emphasize the importance of a systematic approach to spinal imaging, integrating clinical history, radiological findings and pathological correlation to avoid diagnostic pitfalls. This poster aims to equip radiologists and clinicians with a practical framework to enhance diagnostic confidence and optimize management strategies for pediatric patients with spinal pathologies.
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