Also part of the UPMC family:
Also part of the UPMC family:

​Spinal Hemangioma

What Is a Hemangioma?

Spinal hemangiomas are benign tumors that are most commonly seen in the mid-back (thoracic) and lower back (lumbar). Hemangiomas most often appear in adults between the ages of 30 and 50. They are very common and occur in approximately 10 percent of the world’s population. Most cases show no symptoms. Symptomatic hemangiomas represent less than one percent of all hemangiomas, and are more common in women than in men. If left untreated, symptomatic hemangiomas can cause serious neurological effects.

At UPMC, we treat hemangiomas with surgical removal (resection) of the tumor or the affected vertebra, and radiation therapy to treat pain. Ethanol injections and laminectomy may also be performed.

Hemangioma Symptoms and Diagnosis

Hemangioma diagnosis

If a hemangioma is suspected, the doctor will order an x-ray to check for a specific pattern on the bone, called a trabecular pattern. Trabecular, or cancellous, bone is a lattice-shaped structure within the bone.

A CT scan may also show a polka dot appearance in the bone. If this appears, an MRI will be ordered to show whether the tumor has expanded into the spinal column or spinal canal, or encroached on the spinal cord. MRI can also show the extent of nerve damage in the spine and can assist in planning surgical treatment.

Hemangioma symptoms

Most hemangiomas are symptom-free, but symptoms may include:

  • Back pain
  • Pain that radiates along a nerve due to inflammation or irritation of the nerve root
  • Spinal cord compression

Hemangioma Treatment

Treatment for hemangiomas depends on the size and location of the tumor. At UPMC, we use a combination of stopping blood flow to the tumor (embolization), surgical removal of the tumor, and radiation therapy.

Radiation therapy is effective in the treatment of pain caused by hemangiomas. Ethanol injections with fluoroscopic guidance have also proven effective in treating pain. Another treatment option is embolization followed by removal of the small bones that make up a vertebra (laminectomy) or removal of the vertebra (vertebrectomy).

Find a Doctor

Browse UPMC doctors and medical professionals to find the care that's right for you. Customize your search by specialty, zip code, last name, and more.


Visit the UPMC Find a Doctor website.
Make an Appointment

Find important information on scheduling your appointment or finding a doctor or service that meets your needs.


Request an appointment now.
Find a Location

Browse addresses and contact information for our network of hospitals, specialty care practices, and community health locations.


Find a UPMC location near you.
Pay Your Bill

Learn more about how to pay your UPMC bill. Find resources including payment methods and contact information for assistance.


Pay your bill now.
Find a Job

Advance your career with UPMC. Discover our latest job listings and learn about our values and career pathways.


Find your ideal job at UPMC.