Osteoporosis is extremely common in elderly women and often first presentation is a vertebral compression fracture. This is extremely painful and triggered by a trivial trauma. In osteoporosis, the bones are very weak and need medical treatment and sometimes surgery. Compression vertebral fracture without motor/sensory deficit can be safely treated with vertebroplasty/kyphoplasty (putting cement into the vertebral body with a long needle under local anaesthesia with c-arm guidance). This can be also be done in fractures due to tumors or cancers. If there is a compression of nerves or spinal cord, we may have to decompress and fix with screws and rods. In such a situation, we put cement along with the screws to augment the strength of the bone and have a better screw purchase. I have successfully treated hundreds of such patients with good results. The pain disappears within hours after the procedure. A few pictures are attached for reference.