Although vertebral hemangiomas are regarded as stable vascular malformations, a number of them progresses and may cause complications involving the cord or the nerve roots. In order to prevent this evolution, vertebral consolidation can be achieved with the percutaneous injection of acrylic cement into the angiomatous vertebra. The preventive effect of this procedure is often combined with relief from vertebral pain. This observation allowed extending the scope of application of this method to other painful spinal lesions such as osteoporosis and certain types of tumors.