Aim:The aim of this study was to document the effectiveness of an alternative surgical technique for concurrent vertebroplasty and decompression without instrumentation for patients with vertebral hemangioma presenting with neural compression symptoms.Material and Methods:This study is a technical note and a retrospective clinical evaluation. We analyzed the data of 8 patients operated on using our alternative surgical technique for vertebral hemangiomas with epidural extension and neural compression, between 2013 and 2018. The preoperative, postoperative 1st month and postoperative 12th-month Visual Analogue Scale (VAS) scores were assessed and compared.Results:Five of the patients had lumbar and 3 had thoracic hemangiomas. The difference between preoperative and 1st and 12th-month Visual Analogue Scale scores were statistically significant. None of the patients received additional intervention, stabilization, or needed a blood transfusion. Conclusion:This technique is a safe and minimally invasive approach for vertebral hemangiomas with epidural extension allowing decompression of the spinal cord without massive hemorrhage.