Hemangioendotheliomas are vascular neoplasms that rarely involve the neuraxis.

A 50-year-old male patient complaining of severe pain and weakness on both his legs. Patient had history of spinal tumor operation 13 years ago. On examination, patient showed tenderness on his back and no localizing signs.

X-ray and 3D reconstructive CT scan of the dorsal spine showed involvement of D11 and L1 with collapsed D12. MRI showed kyphosis deformity and significant cord compression.

Preoperative embolization was performed followed by transthoracic removal of the tumor and D12 vertebral body which was followed interbody vertebral cage. A second surgery was undertaken to further excise the tumor and stabilize the spine.

Patient was relieved of his symptoms and neurological deficit postoperatively.

A rare case of spinal hemangioendothelioma was treated with embolization and two step surgery requiring stabilization.

Gill AS, Cahyadi A, Babhulkar S, Pawar S, Ramani PS. Recurrent Hemangioendothelioma of the Spine. J Spinal Surg 2014;1(1):28-31.