Not all lumbar 2 vertebral compression fractures require surgical intervention, depending on the characteristics of the lesion. In the case of elderly people with osteoporotic vertebrae, who need to stay in bed for years because of the pain, and in the course of which there are fatal complications such as urinary tract infections, pneumonia, and decubitus ulcers, minimally invasive vertebral body molding and cementing surgery is recommended, and after the surgery, they are able to leave the bed on the next day. Young people with vertebral compression fractures that do not exceed 1/3 of the height of the vertebrae, with no symptoms of nerve compression, and with an intact spinal canal can be treated conservatively, with bed rest, functional rehabilitation of the muscles of the lower back, and regular radiographs for review. However, if the height of the vertebral body compression is more than 1/3, and the vertebral canal is involved or there are symptoms of nerve compression, it is necessary to carry out surgical treatment, otherwise it is prone to chronic low back pain in the later stages of the sequelae.