54 years of age is quite young. What happened 6 months ago to cause your fracture? Do u have osteoporosis?

Most compression fractures heal without surgery within 3 months. Since it’s been 6 months, it’s likely time to revisit the issue with your doc. Conservative, non surgical treatment includes things like rest, medications, physical therapy (especially core muscle strengthening).

If u choose a procedure, I personally favor kyphoplasty over vertebralplasty as it restores the bone mass, so lesser chance of a “hunched” back. My grandmother had a compression fracture that was very disabling. She lived very far out in the country, in a coal mining town. I brought her to my place, with a large regional hospital. The interventional radiologists did kyphoplasties daily (I think that it is key to ask how often your procedure is done). She breezed through it, took no time at all. She was almost immediately pain free and asking to return home.

Regardless of how you decide to treat this fracture, a compression fracture without serious trauma is enough to make the diagnosis of osteoporosis. So that means you are at risk for further fractures. Discuss treatment with your doctor. Learn about osteoporosis. Have blood work that includes a vitamin D level. Modify your diet. Ensure you are getting adequate calcium, vitamin D, vitamin K2. Weight bearing exercise is important. Quit smoking if u have this habit.These are just cursory recs. As you learn more about osteoporosis , you can adapt your strategy. I don’t want to overload you immediately lol

There are many posts here on mayo about osteoporosis.

Good luck