The electric car was hit by the thoracic 12 vertebral compression fracture according to the degree of fracture damage can take conservative treatment or surgical treatment. If the compression range of thoracic 12 compression fracture is less than 1/3 of the height of the vertebral body, and the local stability is good, conservative treatment can be adopted, with bed rest for 2 months, avoiding downward activities, and reviewing the X-ray film in 2 months, and if the fracture is healed well, wearing thoracic and lumbar support to go down to the ground. If the fracture is well healed, wear a thoracolumbar support to move around. If there is osteoporosis, apply anti-osteoporosis drugs such as sodium adronophosphate. If the compression exceeds 1/3 of the height of the vertebral body, surgery should be performed, including vertebroplasty for the elderly, and nail-rod replacement surgery for adults. The electric car was hit by the thoracic 12 vertebrae compression fracture, need to go to the hospital orthopedic examination and targeted treatment and management. The use of drugs need to follow the doctor’s advice.