It was first described by Kummel et al. in 1895 and named after Kummel. It is typically characterized by mild spinal trauma, asymptomatic for weeks to months after the injury, with further onset of symptoms, and persistent progressive kyphotic deformity. Osteoporotic vertebral fracture (OVF) is a common disease in the elderly, and with the increasing prominence of aging in China, this phenomenon has become even more of a concern to those involved. The typical features of non-union in OVF are linear hyperdensity in the T2 phase of the compressed vertebral body on MRI and unenhanced fracture areas in the vertebral body on enhanced MRI. Management of non-healing vertebral fractures 1. open surgery The goals of treatment for OVF non-union are to relieve low back pain, prevent further collapse of the non-healing vertebral body, and correct and prevent kyphosis. non-union of OVF fractures is usually rarely diagnosed promptly and correctly in the clinic. These patients are less responsive to traditional conservative treatment options such as bed rest, pain medication and bracing. Open surgery has been used to address these problems. However, one of the more difficult problems is that spinal screws in osteoporotic patients have poorer holding power, making it more difficult for spinal fractures to heal. At the same time, some elderly patients have more combined medical diseases and are not suitable for open surgery. Therefore, clinically non-healing vertebral fractures without neurological symptoms are still a relative contraindication to open surgical treatment. Vertebroplasty The results of vertebroplasty in the treatment of nonunion of OVF fractures are satisfactory. However, some studies have found that patients treated with vertebroplasty for non-healing vertebral fractures have poorer pain relief and recovery of daily function than patients treated with vertebroplasty for non-healing fractures, and loss of kyphosis and height of the spine at ongoing postoperative follow-up. In vertebroplasty, postoperative pain relief was more pronounced in patients with adequately filled fracture-unhealed vertebrae, which may be related to better vertebral stability with adequate cement filling. According to this theory, kyphoplasty has more theoretical advantages over vertebroplasty alone in the treatment of nonunion of OVF fractures. By creating a cavity within the fractured vertebral segment, the height of the vertebral body can be better restored and cement leakage can be prevented. The majority of the clinical literature supports the use of vertebral body kyphoplasty as an effective and feasible technical option for the treatment of nonunion of OVF fractures. In conclusion, the exact mechanism of nonunion of OVF fractures is still unclear, and conventional treatment options for nonunion of OVF fractures are less effective and require surgical intervention. Among the currently available treatment options, kyphoplasty is one of the most effective, simple, safe, and effective options for the treatment of Kummel disease.