Fig. 6

A 59-year-old female with complaints of low back ache since the last 4 months. Her X-ray lumbar spine was done which shows osteoporotic collapse of L4 and L5 vertebrae. a DSA image showing transpedicular placement of needle in body of L4 vertebrae in AP view. b DSA image showing adequate filling of cement in L4 vertebral body in AP view. c DSA image C showing needle in L5 vertebral body with paravertebral venous extension of cement. d Thoracic fluoroscopy image showing linear streaks of barium in bilateral lung fields suggestive of pulmonary embolism of cement mixture. The patient had no clinical deterioration postprocedure. But the patient had intraprocedural complication of paravertebral venous extension of cement mixture extending into pulmonary embolism. So, she was closely followed up after the procedure had no clinical signs and symptoms of respiratory distress