Vertebral Hemangioma

The prevalence of vertebral hemangiomas increases with age, peaking in the fourth through sixth decades. This is the most common benign spinal tumor; it may be present in up to 10% of all spinal MRI studies. It occurs most frequently in the thoracic spine, less frequently in the lumbar region, and rarely in the cervical region. Commonly, multiple hemangiomas may be seen affecting several vertebrae. Ninety percent of hemangiomas develop within the vertebral bodies. The rest are found in the posterior elements.

Clinical Presentation

Most hemangiomas are asymptomatic and do not harbor any risk. They may be seen on images obtained in the process of patient evaluation and do not require any clinical response. Symptomatic hem-

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