review of vertebral haemangioma

Vertebral haemangioma is an interesting clinical entity regarding presentation, radiological findings and management strategy. We reviewed the literature and found that they can be incidental radiological findings, present with pain or significant neurological deficits. We believe that classifying them according to the extent of vertebral involvement is useful in deciding a management plan. This is based on the three column concept of spinal stability by Denis. Management could range from follow-up in cases with mild symptoms to surgical decompression, embolization and radiotherapy among other measures in cases of more progressive lesions