Fig. 4

A 50-year-old female with history of back ache pain since last one month. a X-ray lateral view lumbar vertebrae showing L4 osteoporotic collapse. b, c MRI T1 AND T2WI shows osteoporotic collapse of D9 and L4 vertebral body, with adjacent bone marrow edema. d–f DSA images showing bipedicular approach of cement injection in L4 vertebrae. g, h DSA images showing unipedicular cement injection in D9 vertebral body, magnified image of D9 vertebra showing extension of cement in adjacent intervertebral disc space(arrow). i Post-vertebroplasty X-ray image shows adequate filling of bone cement in the body of L4 vertebra. There was extension of cement mixture in to D9–D10 IV disc space. However, patient had no clinical symptoms of sensori-motor radiculopathy. Patient had significant relief in pain on 3-month follow-up