 Hemangiomas are frequent vertebral lesions 12 of the whole human population but only 1 displays any clinical symptoms . The most common symptom is local pain, usually non responding for non-steroid anti-inflammatory drugs. Radiation therapy usually does not result calcification or the tumor regression, but significantly reduces the pain intensity or eliminates it. Currently, the most common RT schedule is conventional radiotherapy using fraction dose fd of 2 Gy delivered to the total dose TD varying from36 Gy to 40 Gy. The results in pain reduction achieved after larger total doses are better that led us to use radioablative techniques. This procedure is associated with a probability of better analgesic effect and the good local effect calcification and or regression of laesion with high safety of radiation delivery using tracking based cybernetic microradiosurgery CyberKnife. 