Fig. 2

30-year-old female presented with neck pain with a previous history of surgical intervention of the lesion; fortunately, the patient had no neurological deficits: A, B, C are the preoperative CT and MRI showing pathological fracture of C4 with whole vertebral involvement, paravertebral expansion, and cervical spinal canal compromise. D, E angiographic images of the vertebral and ascending cervical arteries show the massive arterial blush of the hemangioma. F sagittal CT after onyx embolization. G, H late follow-up MRI with contrast done one year after corpectomy, fixation, and 6 months following radiotherapy showing lesion regression with good cord decompression. I postoperative plain X-ray anteroposterior and lateral views showing fixation plate and screws with residual onyx cast on both sides laterally