Introduction: Vertebral fractures at the thoraco-lumbar level are the most common related to bone fragility in elderly patients. There are therapeutic options for the management of these fractures such as transpedicular instrumentation with cemented screws, vertebroplasty or kyphoplasty.

Clinical case: Woman, 65 years old, long-standing diabetic, carrier of osteoporosis without medical management for 10 years, denies and other personal pathological history. Her condition began on April 3, 2024 who suffers a fall while traveling by bus, which caused intense pain at the thoraco-lumbar level, limitation for gait and range of motion. she is evaluated clinically and radiologically, diagnosing a fracture due to osteoporosis at the level of T9 and L2, with loss of 15% of the height of both vertebral bodies. At the directed orthopedic examination: I found the patient with arcometry not assessable due to pain, neurologically integrated.

Aim: Present the Angeles-Rebatú technique consisting of a vertebral re-expansion with a minimally invasive technique associated with a vertebroplasty; Case report.

Material and Methods: Under fluoroscopic vision a Jamshidi cannula is introduced into the vertebral body through the pedicle that It will not be re-expanded, subsequently in the pedicle that the re-expansion is intended to be carried out, an initiating punch is placed in the roy-Camille site, subsequently under fluoroscopic vision an awl is introduced and subsequently a curved spoon number 2 is introduced, resting on the pedicle. , inside the vertebral body (Rebatú technique), we perform a lever caudally and subsequently cephalad, which allows the sunken platform to be lifted, in thirds, from anterior to posterior. through the vertebral body, all of the above under fluoroscopic control. achieving re-expansion of the collapsed body, raising the sunken platform. Once the vertebral body is re-expanded, through the pedicle contralateral to the re-expansion, the vertebroplasty is performed with the usual technique, placing the bone cement (8-10cc) inside the bone defect of the re-expanded vertebral body.

Results: Increase in vertebral height of approximately 80-90%.  

Conclusions: Minimally invasive vertebral re-expansion is a safe procedure that offers the spine surgeon an option to restore vertebral height.

Fco Gabriel Angeles Moreno is a prominent orthopedic surgeon based in Morelia, Michoacán, Mexico. He specializes as a columnologist and serves as an adjunct professor for the Specialty Course in Orthopedics at the "Dr. Miguel Silva" General Hospital, affiliated with SSM-UNAM. 

Dr. Angeles earned his medical degree from the Faculty of Medical and Biological Sciences "Dr. Ignacio Chávez" at the Universidad Michoacana de San Nicolás de Hidalgo (UMSNH). He completed his specialization in orthopedic surgery at the Universidad Nacional Autónoma de México (UNAM) and pursued advanced training in spinal surgery at the "1ro de Octubre" Regional Hospital, ISSSTE, also recognized by UNAM. 

As an active member of several reputable organizations, Dr. Angeles belongs to the Mexican Association of Spine Surgeons (AMCICO) and the Mexican Society of Endoscopy in Orthopedics (SOMEEC). He has received specialized training in endoscopic and minimally invasive spinal surgery techniques from the Latin American Center for Medical Training and Research (CLEMI) in Bogotá, Colombia. 

In addition to his clinical practice, Dr. Angeles is a founding member of the College of Traumatology and Orthopedics of the Valley of Mexico and is associated with the Mexican Federation of Colleges of Orthopedics and Traumatology. His extensive expertise and dedication to orthopedics contribute significantly to innovative surgical practices and education in Mexico