This document discusses vertebroplasty and its controversies. It covers the opposition faction's concerns about patient selection and study design flaws in vertebroplasty trials. Specifically, it notes criticisms of including patients with unclear fracture acuity or other pain sources. It also reviews proposed indications, complications, efficacy evidence from studies, and the debate around early vs. delayed intervention. In 3 sentences: The document examines the ongoing debate around vertebroplasty, with opponents arguing past studies had flaws like uncertain fracture timing and potential sham procedure issues, while supporters point to studies finding it reduced pain and improved function for vertebral compression fractures. It discusses factors like patient selection criteria, potential complications, and the question of whether early intervention impacts outcomes.