{"id":"9dcf729d-3e10-44f3-a167-a1f706472791","slug":"surgical-management-of-symptomatic-vertebral-hemangiomas-a-case-report-and-literature-review","title":"Surgical management of symptomatic vertebral hemangiomas: A case report and literature review","authors":["Harman Chopra","Haydn Hoffman","Timothy E. Richardson","Michael A. Galgano"],"abstract":"Background: Vertebral hemangiomas (VHs) are common benign tumors that only rarely become symptomatic. There is a paucity of data regarding their surgical management and outcomes. Here, we reported a case involving an aggressive cervical VH, discussed its surgical management and outcomes, and reviewed the literature. Methods: We assessed the clinical, radiological, and surgical outcomes for a patient with an aggressive cervical VH. We also performed a systematic review of the literature according to Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines to describe surgical outcomes for symptomatic VH. Results: A total of 154 studies including 535 patients with VH were included in the study. The majority of patients were female (62.8%), the average age was 43 years, and the thoracic spine was most commonly involved (80.6%). Utilizing Odom’s criteria, outcomes were excellent in 81.7% (95% CI 73.2–90.2) of cases. For those presenting with myelopathy (P = 0.045) or focal neurological deficits (P = 0.018), outcomes were less likely to be excellent. Preoperative embolization was not associated with excellent outcome (P = 0.328). Conclusion: Surgical outcomes for VH are predominantly favorable, but aggressive VHs have the potential to cause significant residual postoperative neurological morbidity.","thumbnailUrl":"https://sni-digital-videos.s3.amazonaws.com/articles/9dcf729d-3e10-44f3-a167-a1f706472791/featured/hero-1781562706619.png","publishDate":"2021-02-17T00:00:00.000Z","doi":"10.25259/SNI_752_2020","categories":["Spine","Review Article"],"fullTextUrl":"https://surgicalneurologyint.com/wp-content/uploads/2021/02/10597/SNI-12-56.pdf"}