Percutaneous vertebroplasty using fluoroscopy is a well known technique. Visualization of the posterior wall of the vertebra is mandatory. Good assessment of this part of the vertebra is usually difficult at the cervico-thoracic junction. We propose an original method to obtain adequate visualization of the posterior wall, avoiding the shoulders superposition. Using this technique, we performed twelve vertebroplasties in nine patients (one angioma and eleven metastatic lesions). Clinical outcome was good for all patients, even a total filling of the vertebra body by the cement was obtained in only eight cases on twelve. No clinical complication was observed.