Osteoid osteomas do not typically cause bone fractures. Unlike malignant tumors, these benign lesions do not lead to bone thinning or destruction; instead, they promote localized bone thickening, resulting in a denser and more robust bone structure. However, a risk of fracture may arise from a bone defect created during the open surgical removal of the tumor. To prevent such complications, severe post-surgical bone defects are often stabilized with internal fixation devices like screws or plates.