Abstract: Objective. To analyze results of surgery for symptomatic and aggressive vertebral hemangiom, which is rare in clinical practice. Material and Methods. The study included 82 patients having symptomatic vertebral hemangiom with local pain syndrome as a main clinical manifistation. Diagnosis of vertebral hemangioma was confirmed by neurovisualization findings in all cases. Patients were operated on by use of percutaneous unilateral transpedicular vertebroplasty. Results. All patients had a regression of pain syndrome, increase in physical activity, and return to their usual mode of life after surgery. In 45 patients pain was arrested at the first day after operation, and in 37 patients — in five days. The follow-up period after percutaneous vertebroplasty was 6 to 12 months. Conclusion. Percutaneous vertebroplasty when correctly indicated and perfectly performed is effective and minimally invasive method of treatment for symptomatic and aggressive vertebral hemangioma.