• Pankaj K Singh, Sarat P Chandra, Mohit Agrawal, Dattaraj Sawarkar, Rajender Kumar, Amandeep Kumar, Satish Verma, and Shashank S Kale.
• Department of Neurosurgery, All India Institute of Medical Sciences, New Delhi, India.
• Neurosurgery. 2020 Nov 16; 87 (6): 1240-1251.

BackgroundVertebral hemangiomas are benign, highly vascular lesions of the vertebra, rarely seen in the pediatric age group.ObjectiveTo analyze the long-term (>3 yr) outcome of patients of pediatric vertebral hemangioma presenting with myelopathy and to describe our surgical strategy to treat such cases.MethodsAll patients up to 18 yr of age with a symptomatic vertebral hemangioma treated at our hospital from May 2003 to August 2016, with at least 3-yr follow-up were included. Functional clinical outcomes were measured using American Spinal Injury Association (ASIA) score.ResultsThere were 7 male and 7 female patients. All hemangiomas were located in the thoracic spine with single-level involvement. Upper thoracic spine involvement was more common (12 cases: 85.71%) than lower thoracic spine involvement (2 cases: 14.29%). All patients had features of myelopathy. The mean age was 14.57 yr, ranging from 10 to 18 yr. The mean follow-up was 62.21 mo, ranging from 36 to 90 mo. All patients had improvement in motor strength of both lower limbs postoperatively. Local pain, which was present in 1 patient, resolved, and the bladder symptoms present in 5 patients also resolved.ConclusionOur experience in treating symptomatic pediatric vertebral hemangiomas, along with the long-term follow-up data, suggests that good postoperative results can be achieved with minimal complications in carefully selected patients.Copyright © 2020 by the Congress of Neurological Surgeons.

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