The debilitating nature of pain after vertebral compression fracture both due to osteoporosis and metastatic disease is well documented in the literature. Vertebroplasty and kyphoplasty are two techniques for augmenting of vertebral bodies with acrylic bone cement. The aim of the procedure is to stabilize the vertebral fracture and thus relieve pain. A biopsy may be carried out at the time of cement augmentation. It is generally done as a day case procedure.