Balloon kyphoplasty is a minimally invasive procedure for treatment of painful vertebral fractures which is intended to reduce pain and improve quality of life. Kyphoplasty is indicated in painful vertebral compression fractures in the absence of neurologic signs, and is favored in fractures that are less than three months old. Although kyphoplasty is preferred in severe compression fractures than vertebroplasty as it restores height, it may be difficult to pass the trocars through the pedicle without entering the spinal canal. Kyphoplasty theoretically provides percutaneous direct correction of vertebral collapse and kyphotic deformity with an inflatable bone tamp; the void created can be filled with a low-pressure injection of a higher viscosity cement material possibly minimizing cement extravasation and complications . Kyphoplasty may represent an important advance in the percutaneous injection treatment of vertebral body pathology, but it also has an increased associated cost.