This is the operation X-ray sequence of a 94 year old patient who was crippled with pain and has now returned to her beloved gardening following the correction of her osteoporoticl umbar vertebral compression fracture. Had we used other techniques the PMMA filler would have poured in to the subjacent disc and correction of the alignment would not have been achieved, her pain would have been less controlled and restoration of her functionality would have been impaired.