This is a decision each individual must make for him or herself. Pain tolerances vary from person to person. For most people, the pain of a vertebral compression fracture is very disabling. It takes four to six weeks (or more) before the spine heals itself.
During the recovery time there is a tendency to stay in a forward bent position to help ease the pain. Healing in this position will cause more problems later with increased pressure on the spine and compressed organs in the chest.
Most people get immediate relief from pain with a vertebroplasty. There are even studies that suggest the cement injected into the fractured bone helps restore some of the strength and stiffness needed for normal spinal movement.