Both balloon-expanded PKP and conventional PVP provide reliable and efficient pain relief and prevent further compression and collapse of the fractured vertebral body. For fracture reduction and correction of kyphosis, balloon-expanded PKP is superior to conventional PVP, and it has been reported that PVP has an immediate pain relief efficiency of 97%, with pain scores decreasing from severe to mild pain and an overall patient satisfaction rate of over 80%. Our own clinical experience similarly confirms that PVP has a rather impressive early pain-relieving effect, and it can be argued that no current drug treatment can achieve such effective pain relief. In addition, because of the patient’s early activity, complications such as pneumonia, bed sores, urinary tract infections and other inconveniences in care brought about by prolonged bed rest are avoided, and the vicious cycle of bone loss and thus osteoporosis caused by prolonged bed rest is avoided. Later, it also prevents back pain, gastric distension and even difficulty in standing upright caused by vertebral compression and kyphosis. Of course, the vertebral compression fracture itself can heal on its own through conservative treatment such as bed rest, and the pain usually improves significantly after 3 to 4 weeks in patients. Therefore, in recent years, some foreign scholars have published articles doubting the efficacy of PVP, arguing that there is no significant difference with conservative treatment. However, this view has been questioned a lot so far and has not been accepted by most spine surgeons.