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Vertebral Hemangiomas and Their Correlation With Other Pathologies
Viviane Slon1, Nathan Peled, Janan Abbas
1*Department of Anatomy and Anthropology, The Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel †Department of Radiology, Carmel Medical Center, Haifa, Israel ‡Department of Physical Therapy, Zefat Academic College, Zefat, Israel.
Insights
Vertebral hemangiomas (VHs) are linked to spinal issues, trauma, diabetes, cardiovascular disease, and cancer. This suggests a common cause related to disrupted blood flow in vertebral microvessels.
Area of Science:
- Spinal pathology
- Vascular biology
- Oncology
Background:
- Vertebral hemangiomas (VHs) are common benign spinal tumors.
- Systematic study of VH associations with spinal and systemic conditions is lacking.
Purpose of the Study:
- To investigate associations between vertebral hemangiomas (VHs) and other spinal pathologies.
- To explore links between VHs and metabolic diseases, cardiovascular diseases, cancer, and past trauma.
- To elucidate the potential pathophysiology of VHs.
Main Methods:
- Cross-sectional study of 196 adults (98 men, 98 women) aged 18-91.
- Data collected from full spine CT scans and medical records.
Main Results:
- VHs showed significant associations with disc lesions, past trauma, diabetes, cardiovascular diseases, and cancer.
- No significant association was found between VHs and obesity.
- Medium-large VHs were specifically linked to osteoporosis.
Conclusions:
- The observed disease patterns suggest a common underlying cause for VHs.
- This cause may involve disrupted microvascular blood flow and endothelium damage within vertebral bodies.
- This disruption could lead to hypervascularization, characteristic of VHs.
Study Design:
This cross-sectional study was carried out on 196 adults (98 men and 98 women), aged between 18 and 91 years.
Objective:
To examine whether vertebral hemangiomas (VHs) are associated with other spinal pathologies, metabolic diseases, cardiovascular diseases, cancer and past trauma, to shed light on their possible pathophysiology.
Summary Of Background Data:
VHs are the most common form of benign tumors in the spine. Their association with spinal and systemic pathologies has not yet been systematically studied.
Methods:
Clinical data were gathered from full spine CT scans and medical records.
Results:
VHs were significantly associated with disc lesions (P = 0.004), past trauma (P = 0.037), diabetes (χ = 5.179, P = 0.023), cardio-vascular diseases (χ = 8.625, P = 0.003), and cancer (χ = 5.820, P = 0.016), but not with obesity. Only medium-large size VHs were significantly associated with osteoporosis (χ = 6.695, P = 0.010).
Conclusion:
The pattern of diseases related to VHs suggests a common cause for VH, namely, a disruption of vascular flow in the microvessels (accompanied by endothelium damage) within the vertebral body, eventually resulting in hypervascularization.
Level Of Evidence:
4.
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