Fig. 2

A 74-year-old woman with an insufficiency endplate fracture of L4 vertebral body. a Anterolateral view radiograph showing a degenerative lumbar scoliosis. b Bone SPECT-CT image of the lumbar spine showing a hotspot at the lower endplate of the L4 vertebral body. c T2-weighted MR sagittal image of the lumbar spine without remarkable findings indicating the site of pain-causing pathology. MR, magnetic resonance; SPECT/CT, bone scintigraphy with single photon emission computed tomography