Osteoporotic Vertebral Fracture and Cement Augumentation ( Vetebroplasty/ Ballon Kyphoplasty) 67 Year Old female with history of fall had Osteoporotic fracture of D 12 Vertebral bone. She Had severe back pain which increased with activity and she felt better after some rest. She underwent surgery with cement augmentation by vertebroplasty and pedicle screw fixation. she was mobilized from very next day and had significant relief in back pain. for osteoporosis she was started on teriparatide injections