Conclusion
Misdiagnosis frequently occurs in children with spinal tumors who
exhibit musculoskeletal symptoms, leading to delayed diagnosis. This
subgroup of patients frequently exhibited less aggressive tumors, rarely
developed metastases or required additional therapy beyond surgery and
tended to have a higher 5-year survival. These findings suggest that
less aggressive tumors can give rise to gradually developing skeletal
abnormalities and musculoskeletal symptoms, without accompanying
neurological or general symptoms, thereby leading to misdiagnosis.