The cause of vertebral fibroangioma is still unclear, and the treatment mainly focuses on conservative treatment, and surgery can be performed if necessary. 1. Conservative treatment: for asymptomatic patients, follow-up observation is the mainstay, and enhanced CT or nuclear magnetic resuscitation can be repeated once a year to observe the size change. Patients with local symptoms can take sclerosing agent injection to close the blood vessels around the tumor, so as to make the tumor necrotic or calcified by itself; radioactive therapy can also be used to induce degeneration and necrosis of trophoblastic blood vessels of the tumor, and the tumor will gradually apoptosis after lack of blood supply. 2. Surgery: for patients with large tumors and nerve compression symptoms, surgery can be chosen. Surgery is generally based on traditional open tumor resection. For patients with tumors in multiple vertebrae or patients whose tumors are too large to be completely resected in one stage, interventional therapy can be adopted to embolize the blood vessels around the tumor. The specific surgical method needs to be decided by the doctor after comprehensive evaluation of the patient’s condition. If the diagnosis of vertebral fibroangioma is confirmed, it is recommended to carry out standardized treatment as early as possible in order to reduce the adverse effects of the disease.