Clinical PresentationĪ 40-year-old man had a car accident in 1996 which caused the burst fracture of L1 as diagnosed on a spinal CT scan and fracture of left femur diaphysis. The emergence of a hemangioma in a fractured vertebra suggests that its pathogenesis can be related to the deviation of the angiogenetic pathways from the normal healing process. This case is the second extradural capillary hemangioma secondary to spinal trauma ever to have been documented in English literature. We propose that progressive hemangioma is extremely rare and that its cure is possible by total surgical removal of the lesion. In the fourteenth year of follow-up, he was symptom-free and radiologically clear of this lesion. Fusion was achieved by Th12-L2 graft and plaque. A second embolization procedure was performed and this time the hemangioma was totally removed via an anterior approach and corpectomy. Postoperative control MRI taken at eight months showed that the lesion and destruction of the L1 vertebra were progressive. Histopathological diagnosis of the lesion revealed a capillary hemangioma. Due to the profuse bleeding, only a subtotal removal was possible. A 40-year-old man who complained of back and leg pain due to a hemangioma of L1 that had begun a year after the fracture of the same vertebra was subsequently operated on. The authors present an extremely rare case of an aggressive and progressive vertebral capillary hemangioma of the lumbar spine secondary to a trauma.