Multiple hereditary osteochondroma presenting as spastic paraplegia

Osteochondromas are benign bony tumours with only 1–4% being located in the spine. Compressive myelopathy as a presentation of vertebral osteochondroma in a child is a rare entity. Our case being 6-year-old female with multiple osteochondroma involving spine presenting as spastic paraplegia is itself rare as males of 2nd decade are mostly affected. Father of the patient also had osteochondroma like lesion over knee showing its autosomal dominant inheritance. Appropriate imaging followed by surgical decompression is key to minimize further complications.