Fig. 5

A 29-year-old male who is suffering from thalassemia with history of regular interval repeated blood transfusions had lower lumbar back pain and inability to walk since last 6 months with tenderness at L4 vertebral level. a X-ray AP and lateral view of thoracolumbar spine showing multiple vertebral osteoporotic collapse with few vertebrae showing biconcave end plates. b DSA lateral view image showing unipedicular injection of cement in to collapse L4 vertebrae. c DSA AP view showing adequate filling of L4 vertebrae by cement mixture more on one half. The patient was a known case of thalassemia with history of multiple blood transfusions. Though there were multiple vertebral collapse, but patient had symptoms of pain and tenderness only at lumbar region. So, vertebroplasty was planned for L4 vertebrae. On follow-up, the patient had significant relief in pain and is now able to walk without support