For vertebral compression fractures caused by osteoporosis, traditional treatments include bed rest (4 weeks-6 weeks), pharmacological analgesia, external fixation with braces, etc. These can cause greater pain and inconvenience to the patient, and long-term bed rest can further aggravate osteoporosis, causing a vicious cycle and leading to bed sores, crushing pneumonia, urinary tract infections, venous thrombosis of the lower extremities, and even death. In recent years, medical researchers have developed vertebroplasty with minimally invasive advantages for the pathological characteristics of osteoporotic vertebral compression fractures in the elderly. This technique involves the injection of an amount of bone-strengthening material through the skin into the diseased vertebral body under the guidance of an imaging system to increase the strength of the vertebral body and prevent collapse. Vertebroplasty treatment immediately increases the strength of the spine, effectively relieves the pain caused by osteoporotic vertebral compression fractures, and allows patients to leave bed and return to normal life as soon as possible to avoid further aggravation of osteoporosis. The symptoms of pain are rapidly and completely relieved in about 90% of osteoporotic patients, with satisfactory long-term results. Manual repositioning: Traction hyperextension repositioning under the C-arm: the patient is placed in a prone position with the chest and iliac crest and thighs padded so that the thoracolumbar segment is moderately dorsally extended. The bed is folded and swung up to 30°-60° (as large as possible if the patient can tolerate pain), with the fractured lumbar vertebrae located at the angled part of the bed. The thoracic and pelvic traction is performed with 10-20 kg at each end depending on the patient’s weight, and the operator repositions the fracture by applying a slight pressure on the fracture site with both hands with folded palms for several times.