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The surgical treatment for severe spine hemangiomas and the results after surgery. In this investigation, patients treated surgically for severe hemangiomas of the cervical, thoracic, lumbar, and sacral spine between 2005 and 2018 at a tertiary referral academic medical facility were included. The database of the hospital's pathology department was utilised to locate patients who had been diagnosed with an aggressive hemangioma. The Fischer exact test with significance set was used to examine patient demographics, medical history, surgical procedure, adjunct therapy, early and late problems, and recurrence.