Fig. 1

A 68-year-old woman with degenerative lumbar discopathy. a Lateral view of radiograph showing adult spinal deformity with a sagittal imbalance. b T2-weighted MR sagittal image of the lumbar spine without remarkable findings indicating the site of pain-causing pathology. c Bone SPECT/CT image of the lumbar spine showing a hotspot in the vertebral disks of L3/4 and L4/5. d Lateral view radiograph after oblique lumbar interbody fusion and percutaneous pedicle screw fixation. MR, magnetic resonance; SPECT/CT, bone scintigraphy with single photon emission computed tomography