Clinical features and treatment of non-complicated thoracic spine hemangiomas

Yu.Ye. Pedachenko, Hao Hu


Hemangiomas of thoracic vertebrae are non-malignant tumors. In majority of cases, they are incidental findings and don’t need any treatment, just observation. Some patients have hemangiomas, which are growing and destroy vertebral body. In the absence of treatment, it leads to compression fractures due to minimal trauma. Also, hemangiomas can destroy posterior wall of vertebral body and spread into spinal canal. These conditions cause disability and tremendously decrease quality of patient’s life. Doctor has to answer whether hemangioma in each case is accidental finding, or has aggressive course. In the period from 2009 to 2016, we operated 128 patients with aggressive hemangiomas. Based on analysis of our data, we have found some clinical symptoms specific for aggressive hemangiomas. Percutaneous vertebroplasty allows both to avoid the corresponding disabling complications, and to improve the quality of life of the patient due to decrease of pain syndrome.


vertebral hemangioma; thoracic spine; pain syndrome; vertebroplasty


Schmorl G. The Human Spine in Health and Disease / Schmorl G.,

Junghanns H. — New York: Grune & Stratton, 1965. — P. 325-377.

Bartels R.H. Symptomatic vertebral hemangiomas / R.H. Bartels, J.A. Grotenhuis, J.A. Van der Spek // J. Neurosurg. Sci. — 1991. — Vol. 35. — P. 187-192.

Outcome f dorsolumbar vertebral hemangiomas presenting with neuraxial compression / A.P. Nair, R. Kumar, A.K. Srivastav et al. // Indian J. Ortop. — 2012. — Vol. 46. — P. 536-541.

Schwartz T.H. Estrogen and progesterone receptor-negative T11 vertebral hemangioma presenting as a postpartum compression fracture: case report and management / T.H. Schwartz, H. Hibshoosch, C.J. Riedel // Neurosurgery. — 2000. — Vol. 46. — P. 218-221.

Surgical management of symptomatic T8 vertebral hemangioma: case report and review of the literature / B. Tucer, M.A. Ekici, A. Menku et al. // Turk. Neurosurg. — 2013. — Vol. 23. — P. 680-684.

Acute spinal cord compression from an extraosseous vertebral hemangioma with hemorrhagic components: a case report / T. Ergun, H. Lakadamyali, A. Mukaddem // J. Manipulative Physiol. Ther. — 2007. — Vol. 30. — P. 602-606.

Педаченко Е.Г., Кущаев С.В. Пункционная вертебропластика. — К.: АЛД, 2005. — 520 с.

Шухов В.С. Боль. Клинические рекомендации по ведению больных с различными болевыми синдромами / В.С. Шухов // РМЖ. — 2004. — № 7. — 437 с.

Попелянский Я.Ю. Ортопедическая неврология (вертеброневрология): Руководство для врачей. — 3-е изд., перераб. и доп. — М.: МЕДпресс-информ, 2003. — 672 с.


Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 International License.


© Publishing House Zaslavsky, 1997-2020


   Seo анализ сайта