Spinal vascular malformations are anomalous connections between arteries and veins in the spinal canal. Spinal vascular malformations are rare and account for 3-4% of all intradural vascular lesions. They can be divided based on their connections with genetic disorders and based on their anatomical localisations. Clinically the most important is the rough division on spinal arteriovenous malformations and spinal arteriovenous fistulas. Spinal arteriovenous fistulas are more common and account for about 70% of all spinal vascular malformations. Most important clinical presentations are chronic progressive myelopathy and acute presentations, such as subarachnoid haemorrhage and hematomyelia. Radiologic diagnostic is crucial for correct characterization of lesions, and for later choice of the adequate treatment. Digital subtraction angiography is a gold standard for diagnostic of spinal vascular malformations, but for initial diagnostics and localisation of lesion magnetic resonance is best. Endovascular embolization, surgery and radiosurgery are treatments available for treating spinal vascular malformations. Endovascular embolization techniques include embolisation with coils, particles and glues. It is important to treat these lesions because, in most cases, it is possible to stabilise the symptoms or even to achieve complete regression of the symptoms after the treatment.