Osteochondromas are benign lesions with a fungal-like appearance with a hyaline cartilaginous cap covered with periosteum and do not metastasize. They can be idiopathic, trauma-related and genetic or they can develop after radiation. They are rare in the spine. Although they can be seen anywhere on the vertebra, they are most frequently seen in the cervical region and axis. They are mostly found in the posterior elements. It is often asymptomatic and is seen incidentally on imaging. Asymptomatic lesions that do not show signs of malignant transformation are followed up. In case of surgical indication, it is aimed to remove the tumor together with the cartilage cap. The risk of recurrence after resection is extremely rare.