Fractures in spine can be broadly divided into 2 categories into traumatic and osteoporotic. Majority of the traumatic fractures are inherently unstable and require surgical intervention which now a days also possible via percutaneous minimally invasive techniques. Osteoporotic fractures on the other hand are secondary to weakening of bones. And are managed conservatively at least for 3-4 weeks. IF they do not respond to medical management then day care procedures like vertebroplasty done under local anaesthesia can be performed for these elderly patients.