Introduction: : Spinal hemangioma is the most common benign lesion of the spine with an incidence of 10–12%. Aggressive hemangioma presents with back pain, deformity, or neurologic deficit. Aggressive hemangioma presenting as painful scoliosis is very rare and literature reporting them is very limited. Case Report: We present the case of a boy in his second decade who presented with back pain for 1 month radiating to his right chest with a deformity in his back. MRI showed a hyperintense lesion involving the sixth dorsal vertebra in the T2-weighted image and a hypointense lesion with striations in STIR images suggestive of hemangioma. Pre-operative embolization was done using micro platinum coils. The patient underwent a decompressive laminectomy and vertebral body decompression. The patient also underwent 12 cycles of adiotherapy. The patient had complete resolution of the deformity without any recurrence at 2 years. Conclusion: Management of aggressive hemangiomas with neurologic deficit needs a multidisciplinary approach with surgery, pre-operative embolization, and post-operative radiotherapy. Keywords: Adolescent scoliosis, spinal hemangioma, laminectomy, embolization, scoliosis

A rare case report of Adult Eosinophilic Granuloma of the upper thoracic spine involving the vertebral body. A 48-year-old male with chronic pain over the lower neck without neurological involvement. MR imaging shows a lytic lesion over D2 vertebral body. Open biopsy is done; it is consistent with EG. Immunohistochemistry markers are positive for CD1a, S100. Adult Eosinophilic Granuloma is a self-limiting and spontaneous resolution condition. It should be in the list of differential diagnoses for a solitary lytic lesion of the spine in adults. Keywords: Adult eosinophilic granuloma, Solitary lytic lesion, Langerhans cell histiocytosis