Aggressive vertebral hemangioma treated by TES and posterior multisegmental stabilization: a case report

Vertebral hemangiomas are usually considered as benign tumor mostly characterized by insidious and asymptomatic. A fraction of them referred to symptomatic vertebral hemangiomas (SVHs) can lead to compressive neurological symptoms. We present a case of a 49-year-old male patient diagnosed with thoracic vertebral hemangioma who suffered from severe neurological defects. The atypical radiological appearances of this patient increased the difficulty in making an accurate diagnosis. To minimize the risk of intraoperative nerve injury, total en bloc spondylectomy via anterior-lateral transthoracic approach combined with posterior multisegmental fixation was performed. The clinical results proved to be satisfactory and pathologic biopsy confirmed the final diagnosis of cavernous hemangioma.