Mr.Venkata Narayana Sanghi, 70 yrs old active businessman unfortunately had a fall leading to T12 Vertebral Fracture . He underwent Minimally Invasive Spine Surgery T11- L1 Keyhole Screws and Rods along with T12 Vertebroplasty (Cement Technique) . One month following his Orthopaedic Spine Surgery he is back to his business and active lifestyle. Treatments like full bed rest for 3 months for spine fractures is a thing of the past now. Evidence based practice promotes early surgery and return to normal lifestyle in clinically indicated patients to prevent fracture disease.