Hello, A chronic or long standing compression fracture do not give that rewarding results after plasty procedure against that of fresh ones. In terms of functionality and pain concern, I would recommend: - Avoidance of particular postural maneuvers which provoke pain - Assisted physiotherapy, ultrasound wax bath or sonic therapy - Support of strength of bones with calcium, vitamin D3, minerals as magnesium, zinc and other vitamins - Control of obesity (if there) - better analgesic as tramadol hydrochloride or morphine according to the pain concern and scale out of 10 - Epidural analgesia with expert intervention radiologist when medical therapy fails or inadequate to control pain - Look into the matter of other causes of osteoporosis if any Surgery as a last resort after discussion of all pros and cons of the procedure. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Bhagyesh V. Patel, General Surgeon