Intraspinal tumors include a variety of neoplastic lesions originating in different tissues of the spinal canal, such as the spinal cord, nerve roots, spinal membrane, or vertebrae. The incidence of pediatric intraspinal tumors is significantly lower than that of intracranial tumors, with spinal meningiomas and neurofibromas, which are more common in adults, being particularly rare in children, whereas tumors of embryonic remnants (epithelioid and dermatofibroblastic cysts) occur more frequently in childhood. Intravertebral tumors can occur at any segment of the spine and clinically present with signs and symptoms of nerve root damage at the level of the tumor and involvement of the long fasciculus below that level. Primary or secondary intravertebral tumors can occur in any segment of the spine, because the thoracic segment is the longest, the incidence of tumor is correspondingly higher. The segmental distribution of intravertebral tumors in this group of children is 16.4% in cervical segment, 29.3% in thoracic segment, 20% in lumbar segment; lumbar and lumbosacral segments accounted for a total of 33.8% far higher than that of the adult group. This is related to the fact that tumors of the embryonic remnants of the pediatric tissue are prone to occur at this site. Tumors located in the intramedullary and epidural regions were more common than those in adults, and tumors located in the intramedullary region accounted for about 1/4 of the epidural region and 1/5 of the epidural region. various tumors had their own specific sites of occurrence, such as epithelioid cysts and dermatoid cysts which occurred mostly in the lumbosacral region; gliomas, which were more common in thoracic lumbar and thoracic segments; sarcomas and ganglioneuromas which were more often seen in the epidural region; intestinal cysts were more frequent in the cervical segment of the subdural epidural region and ventral side of the spinal cord, which may be complicated with intramedullary dermatoid cysts. Intramedullary dermatoid cysts.