Lumbar degenerative disc disease and lumbar spinal stenosis are very common problems that spinal surgeons are faced with treating. These conditions are much more prevalent in patients over 55years of age, which is also the group of people in whom osteoporosis is more common [15]; a signicant portion of stenosis patients who are symptomatic will require surgery. Two broad categories of operative treatment include decom­pression alone and decompression with fusion [15]. One study investigated the association with lumbar decompression surgery and subsequent vertebral body compression fractures [15]. They found that lumbar decompression alone without fusion did not place patients at a higher risk for sustaining vertebral compression fractures in the future. However, they found that instrumenting the spine in addition to the decompression was associated with a higher rate of vertebral body compression fractures within one or two vertebral segments of the instrumentation [15]. Patients were at a higher risk of sustaining a subsequent vertebral body fracture regardless of the implant [15, 16]. Even a one-level interspinous stabiliza­tion device was associated with a higher rate of sustaining a subsequent fracture [16].