With a focus on simplifying the OR experience, the OsteoPearl Cementless VBA System consists of the OsteoPearl implants, access instruments, and the patented Elevoss cavity creator, thoughtfully designed to streamline pre-operative setup, and minimize back table footprint and associated medical waste. OsteoPearl implants are a simple biological solution. Made from 100% natural allograft tissue, they consist of flexible links connecting the cortical pearls. Delivered via the standard, minimally invasive surgical approach, the implants create a three-dimensional cortical structural matrix. The weak, osteoporotic spinal segment is augmented with allograft bone, introducing both osteoconductive and osteoinductive properties allowing for the natural induction of new bone formation for the physiological healing of the fracture. This approach is designed with the patient's long-term health in mind, avoiding cardiac, pulmonary, and neurologic complications associated with traditional cement.