Spinal vertebral hemangioma is a very common benign spinal lesion, can occur at any age, middle-aged and elderly patients, cervical, thoracic and lumbar vertebrae can be seen, the pathological manifestations of a large number of hyperplasia of capillaries and expansion of blood sinusoids, the vast majority of patients do not have any special symptoms, the individual patients may have cervical and lumbar back soreness, pain. Most of the patients are found by chance when they do spinal CT or MRI. If the tumor is large enough to cause vertebral instability, collapse, or cause pathological fracture may cause different degrees of pain, deformity and dysfunction, then surgical treatment may be required, the most common surgical method is percutaneous vertebroplasty injection of bone cement to fill the vertebral body, fixation to strengthen and stabilize the vertebral body, and eliminate the symptoms. If the hemangioma is small and does not affect the stability of vertebral body, and the patient does not have clinical symptoms, then treatment is generally not needed, regular review and follow-up, and if there are special symptoms, timely consultation can be done. If the tumor is large, it is necessary to pay attention to avoiding trauma and preventing pathologic fracture. If the tumor is large, it is necessary to avoid trauma to prevent pathological fracture. Hemangioma should be differentiated from vertebral compression fracture, vertebral end-plate inflammation and other primary and secondary spinal tumors.