Medtronic SCORE Study - Study of Curette Use for Obtaining Restoration of Vertebral Body Anatomy in Balloon Kyphoplasty

Inclusion Criteria: * Age \>= 50 years * One painful VCF meeting all of the following criteria: * Fracture due to diagnosed or suspected underlying primary or secondary osteoporosis * VCF is between T5 and L5 * VCF shows hyperintense signal on STIR or T2 weighted MRI * VCF has at least 15% height loss as visualized on plain radiograph * Identified painful VCF has at least superior and one normal vertebrae within 2 levels inferior. * Either the immediate superior OR the immediate inferior vertebral body (but not both) may have a chronic fracture that does not need treatment. * Patient states availability for all study visits * Patient is able to understand the risks and benefits of participating in the study and is willing to provide written informed consent Exclusion Criteria: * Patient is unable to undergo MRI * Patient shows evidence of edema in vertebral bodies other than index level on MRI * Patient is unable to stand for pre-operative and post-operative x-rays * Patient body mass index (BMI) is greater than 35 kg/m2 * Patient is pregnant, or of child-bearing potential and not using contraception * Vertebral body (VB) morphology or configuration is such that balloon kyphoplasty is not technically feasible or clinically appropriate for the index VCF * Index fracture is result of high-energy trauma * Suspected or proven cancer inside any VB * Disabling back pain due to causes other than acute fracture * Spine stabilization beyond balloon kyphoplasty required…