Osteoporosis is a common metabolic disease with a high incidence and is known as the “silent epidemic”. With the advent of an aging society, the incidence is increasing year by year. Osteoporotic vertebral compression fracture is a common disease of spine fracture in elderly people. Traditional treatment is long-term bed rest + drug non-surgical treatment, but long-term bed rest is likely to aggravate the degree of osteoporosis and cause complications. Surgical treatment is prone to surgical complications due to poor repositioning and fixation of osteoporosis and long recovery time. At present, the medical profession considers percutaneous retroconvex plasty as a better treatment method, which can inject bone cement into the diseased vertebral body under fluoroscopic guidance and achieve pain relief. The clinical treatment of osteoporotic vertebral compression fractures is aimed at relieving pain and improving quality of life, increasing bone strength to avoid further fractures, restoring vertebral body height, and correcting retroconvex deformity. Currently, the main clinical methods of vertebral body cement strengthening are percutaneous vertebroplasty (PVP) and percutaneous kyphoplasty (PKP), which was first reported by Galibert, a French physician, in 1987 for the treatment of It is performed by percutaneous puncture into the vertebral body and compression injection of bone cement into the fractured vertebra. PKP was first reported by Reiley et al. in 1994 for the treatment of OVF. PKP was developed on the basis of PVP, and unlike PVP, after successful percutaneous puncture, a balloon is first used to prop up the fractured vertebrae to reset the fracture and to create a cavity in the injured vertebrae PKP significantly reduces the occurrence of complications such as cement leakage and is preferred by more clinician patients. The PKP procedure uses percutaneous puncture to insert a balloon via the pedicle route or via the extra-arch route, injecting a contrast agent under pressure to expand the balloon, repositioning the vertebral body of the compression fracture and creating a safe space, releasing the contrast agent and then withdrawing the balloon and injecting the bone cement under low pressure. The bone cement is then cured to form two strong “casts” within the vertebral body to support the compressed vertebral body. Traditional PKP surgery requires bilateral punctures and two operations on both sides of the vertebral body. Since 2009, after anatomical and clinical research, we have improved and innovated on the basis of the traditional unilateral puncture and proposed the transverse process-arch root approach for cement strengthening surgery, which avoids the disadvantages of one more puncture injury and double the number of intraoperative exposures of the C-arm X-ray machine for the bilateral approach, and also avoids the risk of serious surgical complications due to either a small internal tilt angle and no strengthening of the opposite side of the injured vertebrae or a too large internal tilt angle for the conventional unilateral approach. It also avoids the risk of serious surgical complications associated with either a small internal tilt angle or a large internal tilt angle, which is a good solution to this clinical problem. Osteoporotic fracture is a fragility fracture, which occurs on the basis of osteoporosis, and its underlying cause is osteoporosis, which is a systemic disease, and cement strengthening only treats the local fracture. An individualized and comprehensive treatment plan is developed at different treatment stages in order to obtain long-term good clinical results.