Fractures of the lumbar 1 vertebrae are usually caused by accidental falls, hip drop or high fall injuries, car accident injuries, if the fracture is not serious, the fracture of the vertebral body compression less than 1/3 can take conservative treatment, generally bedridden for about 6-8 weeks, after the fracture is completely long and stable, you can wear a lumbar brace to get up and do functional exercise of the lumbar activities. If an elderly person has a compression fracture of the lumbar 1, they can also do vertebroplasty, which is a minimally invasive surgical treatment, and after surgery, they can walk on the floor early and do functional exercises to avoid complications such as crushing pneumonia, urinary tract infection or pressure sores due to prolonged bed rest. If the lumbar 1 vertebral fracture is very strong, and affects the spinal cord, nerves must be given surgical treatment, usually after surgical incision and reset with the arch nail left internal fixation, in addition to open the paravertebral exploration, to release the nerve compression.