In general, lumbar 1 vertebrae compression fracture refers to the first lumbar vertebrae compression fracture, which is more serious. The vast majority of this disease is due to the lumbar spine by trauma after the impact of the bone fracture, recovery time is relatively long, prone to long-term lumbar pain, kyphosis deformity, lumbar spine function limitations and other sequelae exist. So the first lumbar compression fracture is still more serious. In addition, patients with first lumbar compression fracture should go to orthopedic hospitalization in time, and the specific treatment plan needs to be decided according to the degree of the patient’s lumbar spine fracture. If the fracture displacement is not obvious or the vertebral body is mildly narrowed, a conservative treatment program can be adopted. If the displacement of the fracture is severe and compresses the nerves or the vertebral body is severely narrowed, it is recommended that the patient undergoes internal fixation with incision and repositioning pedicle screws.