The patient was identified and the site of surgery confirmed. The patient was positioned in the prone position, with all bony prominences padded. The lower back was prepped and draped in the usual sterile fashion. Local anesthetic was applied over the posterolateral access sites. Under fluoroscopic guidance, a 10-gauge vertebroplasty needle was then advanced through the fi rst pedicle of L-- into the mid vertebral body at the anterior one-third margin. A combination steroid/analgesic/antibiotic solution was infused into the compressed vertebrae.