Not all fractures require surgery, and it is not uncommon to see children with fractures in the workplace. To evaluate whether the fracture is operated or not, we need to refer to the diagnosis and treatment standard of neurosurgery and traumatic brain injury. Fractures requiring surgery include: 1, fracture depression more than 1cm; 2, fracture compression to the important functional areas, resulting in some neurological dysfunction; 3, open traumatic brain injury fracture; 4, fracture caused by venous sinus, large blood vessel compression, and this time also need to pay attention to the full preoperative preparation of blood, because of the possibility of intraoperative hemorrhage; 5, children’s growth fracture needs to be dealt with; 6, most of the skull base fracture to take conservative treatment, only the cerebrospinal fluid leakage and more than 1 month without complete healing. In the case of cerebrospinal fluid leakage and incomplete healing for more than 1 month, cranial fracture repair may be necessary. Except for the fractures in the above cases, the rest of the fractures are usually treated conservatively.