This pathological cause can be seen right from paediatric age group till geriatric age group. It will be associated with constitutional symptoms like loss of weight or loss of height or fever. Patient may have sudden or gradual onset of pain, radiculopathy or even neurodeficit at times. As per clinical – symptomatic picture, surgeon has to be aggressive with its management. Treatment requires help from other speciality fields like medical oncology (for chemotherapy), radiation oncology (for radiotherapy) etc