The correct treatment of vertebral fractures varies depending on the disease typology, as follows: 1. Elderly people with osteoporosis leading to fractures have a larger population, and patients are mostly of advanced age and have problems with bone metabolism. At this time, it is recommended that patients should seek medical consultation to clarify the bone metabolism to determine the cause of osteoporosis, target treatment to correct the osteoporosis and at the same time carry out fracture treatment. If the patient is older, has more serious osteoporosis and cannot tolerate internal fixation, it is recommended to take vertebroplasty treatment, that is, to insert a needle into the vertebral body and then inject bone cement to harden the bone to achieve immediate stability; 2. Posterior convexity shaping method, applicable to patients with slightly better bone quality or more serious posterior convexity with neurological symptoms, such patients are not applicable to simple PVP, vertebroplasty or PKP balloon It is recommended to take surgical treatment by injecting cement-reinforced nails for vertebral shortening or osteotomy; 3. In young patients with osteoporosis, it is recommended to perform biological fusion and biological fixation, and it is not recommended to perform bone cement treatment such as PKP and PVP, because bone cement will loosen at the interface between bone cement and bone after 10 years. Patients are clinically advised to choose cementing treatment only when no treatment option is available. Therefore, timely bone cement treatment is minimally invasive, but try not to choose this method; 4. In young patients or those who can tolerate surgery, it is recommended to perform surgical repositioning and biological fusion as much as possible in order to restore the lesion to its natural state and avoid a series of complications at a later stage. In conclusion, it is clinically recommended that spinal fractures should seek the help of a professional spine surgeon as much as possible, and it is very important to choose surgical or conservative treatment based on the actual disease typing, such as compression fracture, burst fracture, Chance fracture, disease stability, compression situation, and posterior convexity forming situation reasonably. If a patient who should be treated surgically chooses conservative treatment, it may lead to a posterior convexity deformity, and 10 years later the patient may have increased posterior convexity deformity, stress concentration, and neurological symptoms, at which point surgery will increase the difficulty, risk, and cost to the patient, and even require the option of osteotomy.