Comprehensive rehabilitation of a rare case of hemangioma following subsequent attempts with vertebral stabilization

Vertebral body haemangioma is the most prevalent non-painful, slow-growing benign tumours of the spine. These are malformed vascular tumours, which primarily involve the vertebra and may extend to the epidural space. They rarely present with a neurological deficit due to hypertrophy of the posterior cortex of the vertebral body. It is managed by percutaneous vertebroplasty, in which bone cement i.e. polymethyl methacrylate (PMMA) is injected percutaneously into the vertebral body under fluoroscopic guidance. This study reports a case of a 50-year-old female presenting with excruciating back pain, which radiated to both lower limbs, and tingling and numbness over bilateral feet. Investigation reports reveal hemangioma at D8 and D10 level. The surgeon performed posterior decompression following cement leakage due to the previous vertebroplasty. Post-operatively, the patient was immobilized in a thoracolumbar Taylor’s brace and acute rehabilitation phase was started. During the intervention period, the patient showed great cooperation and now the patient can maintain the self-balancing and be able to resume self-care activities of daily living and grooming with the minimum assistance.