{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,23]],"date-time":"2026-10-23T11:39:29Z","timestamp":1792755569244,"version":"4.5.0"},"reference-count":42,"publisher":"FapUNIFESP (SciELO)","license":[{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"am","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Radiol Bras"],"abstract":"<jats:p>Abstract Primary vertebral tumors and tumor-like lesions in skeletally immature patients are uncommon yet clinically consequential causes of pain, deformity, and neurological compromise. Compared with adults, pediatric lesions arise in a spine with open physes, evolving marrow composition, and substantial remodeling capacity\u2014features that shape tumor biology and imaging appearance. This pictorial review summarizes malignant tumors, benign tumors, and tumor-like lesions of the pediatric spine, adopting a modality-first, compartment-aware approach. Useful highlights include vertebra plana in Langerhans cell histiocytosis, posterior-element bias in lesions such as osteoid osteoma\/osteoblastoma, and the role of whole-body magnetic resonance imaging patterns in chronic nonbacterial osteomyelitis\/chronic recurrent multifocal osteomyelitis. We also update terminology and concepts for entities such as vertebral hemangioma (venous malformation) and aneurysmal bone cyst. Throughout, we couple modality choice with pediatric anatomy and growth considerations, as well as illustrating the discussion with real-life cases from our teaching files.<\/jats:p>","DOI":"10.1590\/0100-3984.2025.0099","type":"journal-article","created":{"date-parts":[[2026,10,23]],"date-time":"2026-10-23T10:56:39Z","timestamp":1792752999000},"source":"Crossref","is-referenced-by-count":0,"title":["Imaging of primary vertebral tumors and tumor-like lesions in skeletally immature patients: a pictorial review"],"prefix":"10.1590","volume":"59","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3580-9147","authenticated-orcid":false,"given":"Sergio Lopes","family":"Viana","sequence":"first","affiliation":[{"name":"Tesla Diagn\u00f3stico por Imagem","place":["Bras\u00edlia, DF, Brazil"]},{"name":"Hospital da Crian\u00e7a de Bras\u00edlia Jos\u00e9 Alencar","place":["Bras\u00edlia, DF, Brazil"]},{"name":"Dasa\/Exame Medicina Diagn\u00f3stica","place":["Bras\u00edlia, DF, Brazil"]},{"name":"Instituto Dasa de Ensino e Pesquisa","place":["S\u00e3o Paulo, SP, Brazil"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6660-2766","authenticated-orcid":false,"given":"Di\u00f3genes Diego de Carvalho","family":"Bispo","sequence":"additional","affiliation":[{"name":"University of Bras\u00edlia","place":["Bras\u00edlia, DF, Brazil"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2571-7775","authenticated-orcid":false,"given":"Bruno Beber","family":"Machado","sequence":"additional","affiliation":[{"name":"Gastren Cl\u00ednica M\u00e9dica e Radiol\u00f3gica","place":["I\u00fana, ES, Brazil"]},{"name":"Cl\u00ednica Radiol\u00f3gica Med Imagem","place":["Cachoeiro de Itapemirim, ES, Brazil"]},{"name":"Cl\u00ednica Radiol\u00f3gica Radial","place":["Cachoeiro de Itapemirim, ES, Brazil"]},{"name":"Santa Casa de Miseric\u00f3rdia","place":["Cachoeiro de Itapemirim, ES, Brazil"]},{"name":"Unimed Sul Capixaba","place":["Cachoeiro de Itapemirim, ES, Brazil"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"530","published-online":{"date-parts":[[2026]]},"reference":[{"key":"ref1","doi-asserted-by":"crossref","first-page":"566","DOI":"10.1055\/s-0043-1771333","article-title":"Update on pediatric spine imaging","volume":"27","author":"Schatteman S","year":"2023","journal-title":"Semin Musculoskelet Radiol"},{"key":"ref2","doi-asserted-by":"crossref","first-page":"459","DOI":"10.1590\/1806-9282.63.05.459","article-title":"Spinal tumors in children","volume":"63","author":"Joaquim AF","year":"2017","journal-title":"Rev Assoc Med Bras (1992)"},{"key":"ref3","doi-asserted-by":"crossref","first-page":"249","DOI":"10.1067\/j.cpradiol.2013.05.003","article-title":"Pediatric spinal neoplasia: a practical imaging overview of intramedullary, intradural, and osseous tumors","volume":"42","author":"Menashe SJ","year":"2013","journal-title":"Curr Probl 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of vertebral and mandibular lesions on imaging","volume":"54","author":"S\u00e1 Silva J","year":"2024","journal-title":"Pediatr Radiol"},{"key":"ref40","article-title":"Neurosurgical management of vertebral lesions in pediatric chronic recurrent multifocal osteomyelitis: patient series","volume":"5","author":"Hug NF","year":"2023","journal-title":"J Neurosurg Case Lessons"},{"key":"ref41","doi-asserted-by":"crossref","first-page":"569","DOI":"10.1007\/s13244-013-0271-7","article-title":"Skeletal involvement in Langerhans cell histiocytosis","volume":"4","author":"Khung S","year":"2013","journal-title":"Insights Imaging"},{"key":"ref42","doi-asserted-by":"crossref","first-page":"1035","DOI":"10.1007\/s13244-018-0666-6","article-title":"Fibrous dysplasia for radiologists: beyond ground glass bone matrix","volume":"9","author":"Kushchayeva YS","year":"2018","journal-title":"Insights Imaging"}],"container-title":["Radiologia 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