Based on the description of spinal cord vascular anatomy given in the third volume of the study of surgical neuroangiography the authors present their clinical experience in the treatment of lesions and tumors of spine and spinal cord. After the classification of spinal cord arteriovenous malformation and the description of clinical aspects as well as the pretherapeutic evaluations the reader is offered all information needed from performing the therapeutic procedures like embolization techniques, spinal cord monitoring and complications