Introduction: In our clinic for several years we are pursuing the concept of mini-invasive surgery applied to the spine. Increasingly we have to our attention patients with comorbidities (figure 1) and for this reason could not face a major surgery. In this work we analyze various patients who suffered an osteoporotic vertebral fracture. The fractures on CT and MRI study, presented a minimal back protrusion of the wall with no images related to compression of the structures ( figure 2a, 2b, 2c), but presented deformities,like kyphosis. The deformities in the past would certainly have required anterior surgery and corpectomy with placement of a mesh and interbody stabilization. This method provides access to trans-abdominal peritoneal or retro peritoneal and often requires the collaboration of general and vascular surgeon due to the presence of abdominal viscera and major vessels.

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