Therapeutic interventions in the skeletal system a re an essential par
t of interventional radiology. Although in terms of figures these proc
edures are applied less frequently, they are very effective. Percutane
ous transarterial embolization of a spinal tumor is well-established i
nterventional treatment. It is primary treatment for preoperative deva
scularization, but also for palliation of pain and for reduction of tu
mor volume. As an alternative access for embolization, direct percutan
eous puncture of a vertebra is used, A new and promising technique is
vertebroplasty, the percutaneous injection of acrylic surgical cement
in destroyed vertebrae. The present paper discusses indications,techni
que, results and complications of these interventional therapeutic mod
alities in the treatment of primary and secondary spinal tumors.