“…(17) Al qurashi et al (N=12). (6) ,&Lakdawala,et al (18) also concluded that With osteoid osteomas, only complete surgical excision ensures the least risk of local recurrence, and effectively provides immediate pain relief and early mobilization can be performed sometimes quite simply and safely.Elzohairyet al (19) ,Alemdar et al (N=104). (15) , Kaiser et al (20) ,all of these studies confirmed in their research that enbloc resection of osteoid osteoma lead to great improvement of pain within the first post operativedays,by a simple easy procedure that does not require extensive surgery with high success rate (95-100%) .confirm the resultswith our study.Incomplete excision of nidus or the presence of other nidus might may persist the symptom & pain discomfort as seen in only one case in our study which necessitated another open surgical operation for enblock resection of the new nidus .…”