Fig. 2

A-30-year-old male patient presented with back pain since last 1 year seldom radiating to left lower leg. a MRI T2WI shows a vertebral hemangioma in D12 vertebral body. b DSA image lateral view showing transpedicular approach of needle placement at junction of anterior one third and posterior two third. c DSA image lateral view showing paravertebral venous plexus when contrast was injected so a thicker bone cement paste was used to prevent venous extension of cement. d, e DSA images showing adequate filling of vertebral body by cement. f, g Post-vertebroplasty X-ray image shows good filling of bone cement in the body of D12 vertebra. On follow-up, at 1 week, there was significant pain relief