Background:Hemangiomas are benign vascular malformations that can involve the spine. Pure epidural hemangiomas are rare and represent only 4% of all epidural lesions. Most hemangiomas are of the cavernous type; the capillary variant is atypical, and only ten cases have been reported in the literature.Case Description:A 69-year-old female presented with nonspecific dorsal pain. Magnetic resonance imaging (MRI) showed a spinal epidural tumor at the T9-T10 level. Following a T9-T11 laminectomy, the lesion was completely resected en bloc. Histopathologic analysis showed a pure epidural capillary hemangioma with adipose tissue mesenchyma.Conclusions:Although epidural capillary hemangiomas are extremely rare, they should be considered among the differential diagnoses of extradural, extramedullary spinal lesions. Further, they must be differentiated from other more common lesions such as meningiomas and schwannomas. The recommended surgical management is en bloc gross total excision.

Objective: To study the impact of surgery on pain, disability, quality of life, and patient satisfaction in a sample of patients with Degenerative Lumbar Disease (DLD). Methods: Retrospective analysis of prospectively collected data. Comparison between pre and postoperative (6 – 12 months) ODI and SF-36, plus postoperative Patient Satisfaction Index. Results: From a total of 216 patients included, improvement was observed in average scores of pain (201.2%), disability (39.7%), physical quality of life (42%), and mental quality of life (37.8%). Among these patients, 57.7% reached or surpassed the minimal clinically important difference (MCID) for ODI, 57.7% for the SF-36 pain component, 59.7% for the SF-36 physical component summary, and 50.5% achieved or surpassed the MCID for the SF-36 mental component summary. Conclusions: Surgery produced a significantly positive impact on pain, disability, and quality of life of patients. Overall, 82.5% of the patients were satisfied.

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Background: Acinic cell carcinoma (ACC) accounts for only 1% of all parotid neoplasms. Spinal metastases of these tumor are extremely rare. Case Description: A 21-year-old patient had two prior partial resections of an ACC of the parotid gland followed by radiotherapy. Two years later, the patient presented with a 3-month history of cervicothoracic pain. The cervical spine magnetic resonance imaging revealed a pathological vertebral fracture secondary to metastatic infiltration of the D1 and D2 vertebral bodies contributing to spinal cord compression. The patient underwent a two-staged approach to resect the D1/D2 infiltrated vertebral bodies and to stabilize the cervicothoracic junction. The histopathological diagnosis was consistent with metastatic ACC. The patient subsequently received 10 cycles of adjuvant radiotherapy. Six months later, the patient was neurologically intact and radiographically exhibited adequate fusion without new tumor recurrence. At the telemedicine follow-up 35 months postoperatively, the patient was doing well without axial pain or any neurological symptoms. Conclusion: A 23-year-old patient following circumferential decompression/fusion of a D1/D2 metastatic parotid carcinoma ACC was neurologically symptom free and radiographically stable without evidence of residual/ recurrent tumor.