What is Spinal Osteoid osteoma?

Spinal osteoid osteoma is a *benign bone tumor* characterized by a *small central nidus* surrounded by *reactive sclerotic bone*. It commonly affects males and causes *nocturnal pain* that improves with *NSAIDs* like aspirin. 

*CT imaging* is the preferred diagnostic tool, revealing a *central dot-like nidus* within sclerotic bone, resembling a *“Bindi”* In spinal cases, it can lead to painful scoliosis due to muscle spasms. 

Treatment includes *radiofrequency ablation (RFA)* for minimally invasive tumor destruction and *surgical excision* in complex cases to prevent spinal deformities. 

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