1, the elderly vertebral compression fracture hazard. The spine consists of 24 vertebrae, sacrum and coccyx, each vertebra is equivalent to a brick in the top pillar, the vertebrae are the “top pillar” of the human body, an important part of the spine, the elderly due to osteoporosis or tumor invasion, resulting in a significant decrease in the compressive strength of the vertebrae, minor weight bearing or fall, even excessive bending can lead to Compression fractures of the vertebral body. After the fracture of the main pillar of the human body, the main manifestation is pain in the lower back, limited movement, which is obvious when getting up and bending over, serious fractures can lead to severe pain, affecting rest and life, as well as causing psychological damage to the elderly, manifesting a sense of helplessness and depression, feeling disappointed in life. 2. Traditional treatment methods and deficiencies of elderly vertebral compression fractures. The traditional treatment methods for elderly vertebral compression fractures are divided into two kinds of orthopedic surgery and conservative treatment. Surgical treatment includes internal fixation and spinal canal decompression, but most elderly people are in poor physical condition, with varying degrees of cardiovascular and cerebrovascular diseases, diabetes mellitus and other diseases of the elderly, and cannot withstand the massively invasive surgical procedures, and some patients who can tolerate surgery can be caused by osteoporosis, which can lead to the loosening and displacement of the postoperative fixation screws and repeated injuries caused by re-operation. Therefore, in the past, most patients were treated conservatively, mainly by bed rest and symptomatic treatment with medication. According to the literature and our clinical follow-up observations, more than 60% of patients may have post-fracture complications such as pneumonia, pulmonary embolism, decubitus ulcers, deformity healing, or chronic fractures due to poor healing, and a small number of patients may become disabled or even fatal. 3. The new perspective of minimally invasive interventional radiology on vertebral compression fractures in the elderly. Interventional radiology is an emerging interdisciplinary discipline characterized by minimally invasive diagnosis and treatment of diseases, which has been flourishing worldwide in the past decade or so and has shown great vitality. Interventional radiology has abandoned the traumatic nature of traditional surgery and the long bed rest time of conservative treatment to address the characteristics of vertebral compression fractures in the elderly, and has adopted the reasonable principles of traditional surgery and conservative treatment, including fracture fixation, pain relief, and early activity. Based on the concept of humanistic care, interventional radiology advocates precise diagnosis, minimally invasive treatment, early treatment, early activity, elimination of pain, and humane treatment to improve the quality of life. At present, most experts in bone and joint interventional radiology call for interventional treatment methods to be the first-line clinical treatment for elderly vertebral compression fractures. 4. The methods and efficacy of interventional radiology in the treatment of compression fractures in the elderly. One is percutaneous vertebroplasty (PVP), and the other is percutaneous kyphoplasty (PKP), which is developed on the basis of PVP. PVP is performed under the guidance of high-definition imaging equipment, using a fine needle to penetrate the fractured vertebrae through the skin, and injecting biomaterial (bone cement) into the diseased vertebrae under real-time fluoroscopy to increase It is a new technique to increase the compressive strength of the vertebral body, improve the stability of the spine, relieve or eliminate pain, and prevent the occurrence or development of vertebral collapse. The PKP technique involves percutaneous puncture of the vertebral body with a balloon or spreader to elevate the compressed vertebral body and then injecting a synthetic material (bone cement) into the diseased vertebral body under fluoroscopy under the guidance of imaging equipment. Both methods are currently widely used in clinical practice, each with its own advantages and disadvantages, and large-scale controlled studies are still underway. The clinical results of both methods have been satisfactory, with pain relief rates of over 90% for osteoporotic fractures and over 85% for tumor fractures, and over 90% of patients are out of bed after 2 days postoperatively. According to the literature, vertebral fractures cost the government $15 billion each year, with 500,000 to 750,000 people in the United States each year. Shanghai, as an early aging city in China, is experiencing an increasing number of vertebral compression fractures caused by osteoporosis and tumors, with the total prevalence of osteoporotic fractures among the elderly in Shanghai alone reaching 21% (15.58% for men and 23.45% for women), resulting in a huge medical burden on families and society. However, the society is still not aware of this, so we have to continue our efforts to promote the new technology of interventional treatment of bone and joint diseases for the benefit of the society through in-depth clinical and basic research.