Older adults are prone to fractures because they lose more bone mass and have significant osteoporosis. Spinal fractures may occur in winter when slipping, spraining, or being struck. Since the elderly may have back pain themselves, some cases may not be noticed at first and only come to the clinic after a period of time because the symptoms of thoracic and lumbar pain do not ease and affect normal life. Some elderly people even come to the clinic with fractures of multiple vertebrae. On the one hand, elderly people should pay attention to ensure their nutritional intake, proper exercise such as walking and tai chi to strengthen their bone quality. At the same time, they can take some medications for osteoporosis. Pay attention to keep warm and prevent slippery in winter and do not carry heavier objects to avoid fractures. If pain in the thoracic and lumbar region occurs after activity or under the action of the possible factors of fracture mentioned above, you should rest flat on your back and go to the hospital as soon as possible.