Vertebral compression fractures are a result of isolated failure of anterior column due to forward flexion forces. The middle column is intact, unlike burst fractures. The vertebral body or bodies are usually wedge shaped. Most traumatic vertebral compression fractures can be managed nonoperatively. Unstable fractures would require posterior stabilization using pedicular screws. Chronic compression fractures presenting with persistent pain or progressive kyphosis can be effectively managed with pedicle subtraction osteotomy. Though, vertebroplasty is a less invasive yet effective alternative for cases, where conservative treatment has failed, there is no literature reporting its successful use in young patients. Data regarding procedures like balloon vertebroplasty and spineoplasty, at the moment is inadequate for the recommendation of these procedures.