Hemangioma of the lumbar 2 vertebrae depends on the size of the hemangioma and whether it affects the stability of the entire vertebral body. If the hemangioma is large it may cause local compression fractures, which in turn may cause nerve compression or even paralysis, so this condition should be treated actively. The hemangioma can be surgically removed and then injected with bone cement to restore the local bone tissue to its original solid structure without fracture. The endothelial cells of the hemangioma can also be atrophied by radiotherapy. After complete atrophy of the hemangioma, it will be gradually replaced by fibrous and bone tissues and will return to its original state without consequences. However, if the hemangioma is small, it can continue to be observed clinically without the need for immediate surgery.