Lumbar spine L1 refers to the first lumbar vertebra, compression fracture 1/3 do minimally invasive internal fixation surgery is generally better. Lumbar vertebral fracture is relatively suitable for minimally invasive surgery, often under local anesthesia, percutaneous pedicle puncture or vertebroplasty, less invasive surgery, fast postoperative recovery, more suitable for osteoporotic lumbar vertebral compression fracture that occurs in the elderly. However, if the patient has a compression fracture of the first lumbar vertebra and the fracture bursts into the spinal canal, this is not a suitable case for minimally invasive treatment, and often requires open surgical treatment and decompression of the spinal canal. Compression fracture of the first lumbar vertebrae 1/3 should be timely to the hospital, with the doctor to do the relevant examination, after a clear diagnosis to take the appropriate treatment.