Thoracic 12 vertebral compression fracture can be treated by the following methods: 1. If the thoracic 12 compression fracture is in an elderly patient, caused by osteoporosis, and there are no neurological symptoms, no compression of nerves, and no bone mass in the spinal canal, conservative treatment can be carried out, that is, after 1-2 months of bed rest, wearing a lumbar brace to get out of bed; a minimally invasive surgical method of bone cement filling can also be performed. There are two types of surgery: one is simple cementoplasty, and the other is balloon-expandable cement filling. 2. If the thoracic 12 fracture is in a young person, there will be a loss of vertebral body height after the fracture, and sometimes the fracture block will even protrude into the canal cavity, resulting in spinal cord compression and sensory-motor impairment of both lower limbs, surgery is needed. Surgery can be performed by decompression of the spinal canal and internal fixation with bone grafting. In elderly or young people, if the compression is not severe, such as less than 1/3, conservative treatment is usually possible at this time, and most results are satisfactory.