Fig. 3

A 55-year-old female with complaints of low back ache since last 6 months with signs and symptoms of compressive myelopathy since the last 4 months. a MRI T2WI shows a vertebral hemangioma in D9 and D11 vertebral body. b, c DSA image lateral and AP view showing transpedicular approach of unipedicular cement injection in to D9 vertebral body. d Post-vertebroplasty MRI T1 WI shows residual hemangioma in D9 vertebrae and an epidural component of aggressive hemangioma causing spinal canal stenosis leading to persistence of signs and symptoms post-vertebroplasty. This patient underwent surgical laminectomy to decrease spinal canal stenosis which relieved her symptoms