Chiropractic Management of Symptomatic Pedicle Hemangioma: a Case Report

Spinal hemangiomas are the most commonly encountered primary vertebral tumors, which are benign and asymptomatic. They usually occur in the vertebral body and rarely extend into or originate from the posterior column. Thus, hemangiomas of the pedicle are extremely rare. Only one case of pedicle hemangioma has been documented in the literature. Disc herniations and annular tears are not always symptomatic, and they have always been observed in asymptomatic patients. Therefore, even with a thorough medical history and physical examination, patients with comorbid hemangioma and annular tears present a formidable challenge to the most experienced clinicians. This report describes a rare case of pedicle hemangioma and disc herniation without spinal cord compression in a 47-year-old woman complaining of lower back pain and inability to walk.