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Year : 2020  |  Volume : 17  |  Issue : 1  |  Page : 28-33

Vertebral hemangiomas: A report of two unusual cases and a review of literature

1 Department of Spine Surgery, Baby Memorial Hospital, Kozhikode, Kerala, India
2 Department of Orthopedics, Baby Memorial Hospital, Kozhikode, Kerala, India

Correspondence Address:
M Harisankar
Sarika, Perunnai West PO, Changanacherry 2, Kottayam - 686 102, Kerala
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/joasis.joasis_8_20

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Vertebral hemangiomas are among the most common benign lesions of the spine, with an incidence of 10%–12% in the adult population. Vertebral hemangiomas have been reported in all age groups with most prevalence in the fifth decade of life. A small proportion of the lesions (1%) may cause neurological symptoms ranging from pain to full-fledged paraplegia. Since most of the vertebral hemangiomas are asymptomatic and quiescent, no treatment is required. Treatment is to be considered only if there is back pain or neurological symptoms due to vertebral fracture or spinal cord/root compression. Because these active and symptomatic types of vertebral hemangiomas are a rare occurrence, their treatment modalities remain controversial and hence problematic. Since most of the patients are treated by a combination of modalities, the analysis of the efficacy of each treatment is difficult to assess and hence the apt choice of treatment is still controversial.

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