With the population ages,osteoporotic vertcbral fractures are becoming more and more important.Besides the medical treatments such as bedstay,pain-killer,calcium,calcitonin intake etc,pecutaneous augmentation has been considering a interesting treatment option.There are two different sorts of vertebral enhancement,vertebroplasty and kyphoplasty.Both has good short-term results.The long-term consequences of polymethylmethacrylate injection into the vertebral body are unclear,Each of vertebroplasty and kyphoplasty has its own indications,contraindications,techniques.The complications,especially cement leaking are still of concerns.Discretion must be exercised in the use of these procedures.There is no doubt that the procedure is effective in the treatment of fracture pain in patients who have failed medical management.lts important to be done in experienced hands and with appropriately selected patients.