Often elderly patients visit the gastroenterology department with abdominal pain, bloating, and inability to pass stool for as few as three to five days or as many as ten days. Difficulty in defecation and pain in the lower back when straining hard. Often, they seek help from gastroenterologists. This group of patients may have overlooked a previous history of cough or minor trauma and only remembered that there may be other causes when the pain in the lower back gradually worsened and they could not walk on the floor and the gastroenterologist’s laxative treatment was not effective. A plain abdominal radiograph is taken and the distention in the intestinal canal is very severe. This is a time to be alert for a thoracolumbar fracture. It is sometimes very simple to get a consultation with an experienced orthopedic surgeon, who can tell at a glance that the fracture of the lumbar vertebrae or the lower thoracic vertebrae, the compression of the retroperitoneal hematoma, or the mesenteric edema, the decreased function of the gastrointestinal tract, and the inability to pass stool due to bloating. To confirm the diagnosis, it is best to have an MRI. Most vertebral compression fractures are caused by osteoporosis, and some cases originate from benign or malignant tumors of the vertebral body. The prevalence of vertebral compression fractures is 70% in people over 70 years of age and about 20% in postmenopausal women. Minimally invasive interventions are now available to address one of these problems: vertebral kyphoplasty, a minimally invasive spinal surgical technique, is a representative treatment method.