A stylet-guided balloon vertebroplasty system, as well as methods for bone augmentation using same are provided. In certain embodiments, a pre-curved stylet (470) with an overlying delivery tube (414) may be used to target an approximately centered target site within a bone structure, facilitating direction thereto of an expandable member (462) useful for creating a cavity that may receive curable material to restore bone height and/or to reinforce the bone structure.