For elderly women, vertebral compression fractures are relatively common, and it is best to perform MRI for such patients. On the one hand, MRI can clearly distinguish between new and old fractures, and for new fractures, vertebroplasty is now clinically recommended, which is safe, effective and satisfactory for symptom relief. For old fractures, intramuscular calcitonin is the first choice for conservative treatment, which can inhibit calcium loss and increase bone density while relieving bone pain. Diphosphonates can be used as a long-term treatment option, there are currently two clinical oral and intravenous preparations, oral once a week, need to pay attention to the method of administration, gastroesophageal reflux and peptic ulcer patients should be used with caution; intravenous injection once a year, convenient, need to pay attention to poor renal function can not be used and fever complications, fever can generally be receding heat treatment.