In the elderly, due to osteoporosis, the strength of the vertebrae decreases and very small external forces, such as falling and sitting, holding heavy objects, etc., can cause compression fractures of the spinal bones. The pain is usually so unbearable that they are afraid to cough and turn over. Occasionally, severe cases cause paralysis. It causes great pain to the elderly and increases the burden of care and psychological burden to the family. In the past, the treatment method of bed rest for 3 months was adopted. This method is extremely prone to complications such as bedsores and pneumonia for elderly patients, which can often endanger the patient’s life. The amount of care for family members was also great, as the patient urinated and defecated in bed, requiring at least two people to care for him/her every day. In 2003, we were the first in the province to perform percutaneous conoplasty, a minimally invasive procedure mainly for compression fractures of the spine in the elderly. Our experience in clinical application shows that it is a safe and reliable surgical method as long as the procedure is mastered correctly. Three hours after surgery, the patient can be out of bed and the pain is relieved immediately. The surgery is performed under local anesthesia. The needle is positioned under X-ray fluoroscopy, and a special 2-3 mm thick puncture needle is passed through the skin and muscles of the back, and the tip of the needle is inserted into the anterior part of the compression cone after passing through the posterior arch of the vertebrae. Under fluoroscopic monitoring, bone cement is injected under pressure to strengthen and fix the fractured vertebral body. The procedure takes only 30-60 minutes. You can be discharged the next day after surgery. The cost is between $4000-6000. Posterior convexityplasty is another method of vertebroplasty. It allows the compressed vertebral body to be repositioned with no extravasation of bone cement. However, the operation is long, invasive and expensive, between $45,000-$60,000. It is also a good option if the funds are sufficient.