Pathologic fractures in children can occur due to a variety of conditions, ranging from tumors and metabolic diseases to infection. We encounter pathologic fractures in children mostly due to benign or malign bone tumors among the above-mentioned conditions. Pathologic fractures as a reason of benign and malignant bone tumors should be recognised early and managed appropriately by the orthopaedic surgeon. The most common benign bone tumors that cause pathologic fractures in children are unicameral bone cysts, aneurysmal bone cysts, non-ossifying fibromas and fibrous dysplasia. Although a primary bone malignancy causes pathologic fractures rarely, these should be also recognised early in order to achieve better outcomes. A thorough history, physical and radiological examination are crucial to determine the cause and guide the appropriate treatment. In the majority of benign lesions the fracture will heal and the lesion can be addressed at the time of the fracture, or after the fracture is healed. A multidisciplinary approach is necessary in caring for pediatric patients with malignancies. Pathologic fractures should not be treated by amputation; these fractures can heal and limb salvage can be performed when indicated. In this paper, we aim to review the pathologic fractures in children related mostly to benign and malign bone tumors.