Vertebral compression fracture in the elderly is a common orthopedic disease, with the arrival of aging in China, the elderly vertebral compression fracture in clinical work is often encountered, in order to make the elderly friends on the elderly vertebral compression fracture knowledge and prevention strategies, from the following aspects of the elderly vertebral compression fracture related knowledge, hope that the elderly friends can benefit from it. I, the elderly vertebral compression fracture treatment strategy As the elderly vertebral compression fracture are obvious osteoporosis, the decline in bone mineral content, the vertebral body by a slight external force can occur fracture. The spine is prone to instability after the injury, resulting in low back pain and, in severe cases, nerve compression symptoms. At the same time, elderly patients are often accompanied by various medical diseases, which are risky for elderly patients regardless of the treatment modality. Conservative treatment does not allow for early bed mobility, while long-term bed rest is highly prone to serious complications such as crush pneumonia, pressure sores, urinary tract infections, and deep vein thrombosis. The use of percutaneous translaminar vertebroplasty is an aggressive, effective, and most direct treatment for these fractures, providing vertebral stability and achieving early ambulation. Typically, patients can be on the floor after surgery, avoiding prolonged bed rest and reducing the incidence of complications due to prolonged bed rest. Percutaneous translaminar vertebroplasty is less invasive and more effective, and is very popular among orthopedic surgeons and patients. Second, the prevention and treatment strategy of complications of vertebral compression fractures in the elderly The conservative treatment of vertebral compression fractures in the elderly cannot achieve the goal of early bed activity, and long-term bed rest is prone to serious complications such as pneumonia, decubitus ulcers (pressure sores), urinary tract infections, and deep vein thrombosis. Therefore, the prevention of complications is very important, and the main prevention contents include: 1. Prevention of pulmonary infection: When the patient’s condition permits, encourage the patient to expand the chest more, breathe deeply, cough, try to expel sputum, pat the back regularly, do abdominal deep breathing, which helps to expel sputum, and also train to blow balloons, blow blisters, drink more water, and do nebulized inhalation when necessary to prevent pulmonary infection. For patients with pre-existing respiratory diseases, use ultrasonic nebulized inhalation and apply measures such as drug prophylaxis to reduce or control pre-existing diseases. And to maintain oral hygiene, if necessary, do oral care. 2. Prevention of deep vein thrombosis: Strengthen observation, listen to the patient’s complaints, and pay attention to the color, temperature and swelling of the skin at the extremities for any abnormalities. Encourage the patient to perform bed activities of the limbs, such as muscle contraction and active forceful flexion and extension of the joints. Have nursing staff or family members passively massage the muscles of the extremities to promote blood return. Change the position regularly during bed rest (every 1-2 hours is appropriate). Advise the patient to abstain from smoking so that nicotine does not stimulate the blood vessels and cause venoconstriction. Use anticoagulants according to medical advice. 3. Prevention of decubitus ulcers: Because of poor blood circulation in the elderly and the long time they spend in bed after illness, decubitus ulcers can easily occur in the sacrococcygeal region, heel, scapula, posterior occipital region and other bony protrusions, so basic care should be strengthened to keep the bed soft, clean, dry and flat. Change the position regularly, massage the pressurized parts, wipe the body with warm water frequently, and clean the perineum after defecation. Strengthen nutrition, take nutritious meals that are easy to digest, high in calories, multi-fiber and high in protein. 4. Prevention of urinary tract infection: Encourage and help patients to be more active, drink more water, and keep the perineum clean. When the patient has an indwelling urinary catheter, change the urine bag once a day regularly and take care of the urethral orifice once a day, keep the urinary catheter in the correct position, and conduct regular urine routine and urine culture tests. Avoid prolonged indwelling urinary catheter as much as possible. 5, prevention of constipation: reasonable diet structure, eat more fresh vegetables and fruits. The elderly should drink about 2000 ml of water (including water intake from food) daily, and balance the daily three meals with coarse and fine grains. Reasonable use of tranquilizers and laxatives. 6. Prevent accidents: Ask carefully about the history and extent of previous illnesses and cooperate with the doctor to outline the care plan. In addition to orthopedic care for the elderly, we should pay attention to the observation and care of the whole body and be alert to the occurrence of critical lesions. Timely record the nursing history and take protective care measures in a targeted manner. Third, fall prevention strategies for the elderly With the aging of our population, the health and quality of life of the elderly are receiving more and more attention. Falls mark the beginning of the aging process and are an increasingly serious public health event among the elderly population. A fall is a sudden, involuntary change in body position that causes any part of the body (excluding the feet) to “touch the ground” unexpectedly, but does not include falls caused by paralysis, seizures or external violence. Fall prevention aims to objectively assess potential risk factors and develop interventions and exercise programs to reduce the risk of falls without disrupting life. Fall prevention measures for the elderly should include strengthening fall health education, multi-factor fall risk assessment, strengthening exercise and balance function training, improving joint function, overcoming fear of falling, close medication monitoring and active treatment of related diseases, etc. Fourth, the elderly fall after the rescue strategy After the elderly fall, the first step is to understand whether the elderly have injuries. If they are moved without assessment, it is easy to cause secondary injuries. If an elderly person has extreme pain in the lower back after a fall, it may be a fracture. In this case, immediate help is needed and emergency medical treatment is required. V. Do not blindly use massage therapy to avoid aggravating the injury and spinal instability causing adverse consequences. VI. Rehabilitation strategies after percutaneous transluminal vertebroplasty 1. Psychological rehabilitation education Elderly patients, with poor psychological tolerance and fear due to post-injury pain, should be given psychological counseling so that patients can establish confidence in recovery and cooperate with treatment in a correct and pleasant manner. 2, bone health care strategy Prevention of osteoporosis should be carried out by establishing a scientific lifestyle: a balanced diet, you can eat more calcium-rich foods, such as milk, cheese, shrimp, etc.; appropriate sun exposure, vitamin D is a key substance that effectively promotes calcium absorption, and sunlight can help the body synthesize vitamin D. In summer, you can let your calves, arms and back get about 20 minutes of sun exposure in the early morning and late evening. Exercise in moderation to increase the body’s balance and coordination to prevent falls; avoid picking and lifting heavy objects; use a lumbar belt appropriately; and have a bone density check once a year.