This is a typical case of vertebral compression fracture. The elderly, with no obvious history of trauma, presented with thoracolumbar back pain, which is generally fine when standing, but unbearable when getting up, turning over, and bending over, and some patients also had stomach pain, difficulty with bowel movements or rib pain on both sides! The above is the main procedure of a case treated with minimally invasive surgery. After the treatment, most of the symptoms were effectively relieved and the quality of life was significantly improved! Since 1984, when French doctors successfully injected “bone cement” into the vertebral body to treat hemangiomas, this technique has become the standard of care for osteoporotic compression fractures in the elderly. The ‘bone cement’ is inserted into the vertebral body through a special channel via a puncture needle, and then pushed into the middle of the loose bone cancellous mass, thus filling the empty bone and strengthening the vertebral body, which is usually difficult to recompress. At the same time, the heat generated during the cementation process reduces the sensitivity of the peripheral peripheral nerves of the vertebral body, thus achieving pain relief. Since I became proficient in this technique, I have relieved the pain of two to three hundred patients each year, the oldest, who was 95 years old at the time! After clinical application, the procedure is short, almost woundless, with fast recovery and good results!