Primary spine tumors originate within the spinal column and can be either benign or malignant. These tumors are relatively rare compared to tumors that metastasize to the spine from other parts of the body. Benign primary spine tumors, such as osteomas or schwannomas, may cause symptoms like pain or neurological deficits due to compression of surrounding structures. Malignant tumors, like chordomas or osteosarcomas, can be more aggressive, infiltrating nearby tissues and potentially spreading to other parts of the body. Symptoms of primary spine tumors may include localized pain, radiating nerve pain, weakness, or even paralysis. Diagnosis often involves imaging studies such as MRI or CT scans, and a biopsy may be necessary to determine the nature of the tumor. Treatment options vary based on the type, location, and extent of the tumor, and may include surgery, radiation therapy, or chemotherapy. A multidisciplinary approach involving neurosurgeons, orthopedic surgeons, oncologists, and other specialists is crucial for effective management and to address the unique challenges associated with primary spine tumors. Early detection and intervention are essential for optimizing outcomes and preserving neurological function.