Case presentation. This 63 years old female presents after a minor car accident. Clinically the patient presents with right sided leg pain as soon as she gets up, however motor function is ok. The imaging studies depict an atypical fracture of L4 (Figure 2a), with an impression of the lower endplate. Obviously there is a foraminal stenosis at L4-L5 which provokes the leg pain. Because of the neurologic symptoms a surgical treatment was advocated. Instead of an open intervention a stentoplasty procedure was performed. The correction achieved is well visible by the intra- and postoperative pictures (dashed lines, Figure 2b). Compared to preoperatively the postoperative CT scan confirms an important correction that could be achieved by the stent and the well performed cement augmentation that stabilizes the vertebral body (Figures 2c,d).