Osteoporotic vertebral compression fractures and cement augmentation or kyphoplasty 78 yr old male had fall in bathroom resulting in L3 lumbar vertebra fracture. Pt was diabetic and hypertensive. Fracture was intially managed nonoperatively with rest, belt and medicines. Howe3back pain persisted and pt was bedridden. His MRI showed nonunion of L3 fracture. Due to severity of pain and ununited fracture a decision to do cement augumentation by kyphoplasty. The surgery was performed as day care procedure under local anaesthesia. Pt was made to sit in evening and discharged. He reported significant improvements in pain and activities.