Lumbar 1 vertebral compression fracture cannot restore the height of the vertebral body after conservative treatment, and surgical treatment is needed to restore the height of the vertebral body, and the common surgical treatments are percutaneous vertebroplasty and incisional reduction and internal fixation. 1. Conservative treatment: lumbar 1 vertebral compression fracture, if there is no foreign body in the vertebral canal and no nerve root compression symptoms, conservative treatment can be chosen, bed rest, and the fracture can be healed by itself after three months, but the height of the vertebral body can not be restored. 2. Percutaneous vertebroplasty: It is mainly applicable to elderly and osteoporotic patients, with simple operation and quick effect. After cement is injected into the vertebral body by percutaneous puncture, the height of vertebral body can be restored. 3. Cutting and repositioning pedicle internal fixation: It is used for vertebral compression fracture. The pedicle has a strong supporting effect, which can open up the compressed vertebral body and restore the height of vertebral body. Patients with L1 vertebral compression fracture are advised to actively cooperate with the doctor to formulate a reasonable treatment plan and carry out targeted treatment according to their own conditions.