The current surgical treatment of thoracic compression fractures, and the severity of the fracture, as well as the age of the patient has a very obvious relationship, thoracic compression fracture surgery is divided into two categories: 1, minimally invasive surgery, the most common is percutaneous vertebroplasty, this type of surgery is suitable for the elderly osteoporotic fracture, or the patient fracture is more serious, must be operated but have underlying disease, by injecting bone cement to restore the height of the compressed vertebral body. 2, for incisional internal fixation surgery, using a nail bar system for fixation, seen in young people or patients with vertebral body height compression of more than 1/3, or fractures with significant nerve damage, spinal stenosis and other fracture complications, after incisional reduction using a nail bar system to warp and fix the compressed fracture height. The exact type of procedure needs to be determined in conjunction with imaging, the patient’s age, and physical condition.