Osteoporotic Vertebral Compression Fractures comprise a major health problem that decrease the quality of life and increase back pain. Balloon kyphoplasty (KP) is a procedure wherein a deflated balloon is inserted into the vertebral body through the pedicle and then inflated to restore the height of a collapsed vertebral body. The balloon is then deflated and withdrawn, and the remaining cavity is filled with polymethyl methacrylate (PMMA) or a bone substitute cement. kyphoplasty is a safe and effective treatment for pain alleviation in patients with osteoporotic vertebral compression fractures