A 32-year-old well-built male presented to the Orthopaedics clinic with major complaints of low backache with both lower limbs weakness and disturbed bladder/ bowel habits. An osteolytic lesion was seen at tenth thoracic vertebra with anterior compression on the spinal cord on radio-imaging. Giant cell tumor (GCT) of dorsal vertebral body is an uncommon entity and total en bloc excision is difficult. Complete intralesional tumor excision with reconstruction was performed. Histopathological examination was suggestive of GCT. Our patient is doing well after one year of follow-up, without any signs of recurrence of the tumor and is ambulant with support. We discuss in brief about incidence, presentation and various treatment modalities available for spinal GCT.