Fig. 1

A 25-year-old female with complaints of upper thoracic back pain with tenderness localized to T4. a, b MRI T1 and T2WI thoracolumbar spine shows a hyperintense lesion on both T1 and T2 s/o vertebral hemangioma in D4 vertebral body. c, d DSA image AP and lateral view showing unipedicular injection of cement. e, f Post-vertebroplasty X-ray image of thoracic spine shows adequate filling of bone cement in the body of D4 vertebra with no extension in to IV disc space. On follow-up, patient had significant relief in pain with decrease in morbidity and no tenderness at D4 level