(A) An 85-year-old woman with osteoporosis presented with lumbar pain for 2 days. DR revealed compression fractures of the L1 and L3. (B) T1-weighted image indicated low signal intensity within L1 and L3. (C) T2-STIR image indicated high signal intensity within L1 and L3. (E) PKP was implemented in L1 and L3 in our medical institution, and L2, a sandwich vertebrae was also formed, as shown in (D) and (E). (G) One month after the initial treatment, the patient again sought medical attention due to low back pain. T1-weighted image manifested low signal intensity and T2-STIR image indicated high signal intensity in L2, a sandwich vertebral body, As shown in (F) and (G).