Figure 3

A 69 years old female patient in T-PKP group with L5 OVCF, previous PKP history of L3 and L4. These images are intraoperative X-ray fluoroscopy. The posteroanterior imaging (A) showed that the needle inclined to the midpoint of inferior endplates. The needle via the pedicle reached anterior 1/3 part of the vertebral body (B). The anteroposterior distribution of bone cement was satisfactory (C). Bone cement don’t across the midline of the vertebral body (D).