I've not done if for a hemangioma.
However, the first reported case of Vplasty was actually FOR a hemangioma...in the cervical spine.. I know we are discussing kypho.
www.vertebroplasty.com/styles/vertebro/defiles/Vertebroplasty_PP.pdf‎
Your link didn't work. And going to the site you posted, they have this nice little indications and CI page:
http://www.vertebroplasty.com/pages/Indications
Indications and Contraindications
Treatment Goals: Reduction of pain and vertebral body stabilization
Indications
Painful Fractures
Osteoporotic fracture refractory to medical therapy
Benign or malignant tumor: hemangioma, multiple myeloma, metastatic lesion
Osteonecrosis
Unstable Fractures
Unstable fractures with movement at wedge deformity
Multiple thoracic compression deformities with decreased thoracic cage threatens pulmonary compromise, impacts appetite, GI function, balance
Possible structural reinforcement prior to surgical stabilization
Patient Selection
Focused pain in region of fracture
Fracture tender to palpation
Absence of radicular pain
Subacute or acute fractures less than one year old yield greatest results (less than 4-6 months ideal); older fractures can also be treated
Fracture unresponsive to medical therapy (analgesics, bed rest, immobilization)
Fracture with activity on bone scan or edema on MRI, if in combination with other selection criteria
Pain from fracture negatively impacting mobility and ADLs
Contraindications
Absolute Contraindications
Asymptomatic stable fracture
Clinically effective medical therapy
Osteomyelitis of target vertebra
Uncorrected coagulation disorders
Acute traumatic fracture of non-osteoporotic vertebra
Prophylaxis with no evidence of acute fracture
Allergy to any required component
Local or systemic infection
Relative Contraindications
Radicular pain or radiculopathy caused by a compressive syndrome unrelated to vertebral body collapse
Retropulsed fragment with > 20% spinal canal compromise
Tumor extension into epidural space
Severe vertebral body collapse (vertebra plana)
Stable fracture without pain older than one year
Notice hemangioma is listed up there under fractures. But where is the fracture for this case? Meh.
And here is your data to support it:
http://www.painphysicianjournal.com/2009/july/2009;12;E297-E303.pdf
If no edema on STIR, I'd pass. Got a guy down the road a bit who still does prophylactic kypho. He drives a Maserati.