Osteoporotic vertebral compression fracture (OVCF) is a painful sensation in different parts of the spinal vertebrae, including the cervical, thoracic and lumbar vertebrae, in patients with osteoporosis, in the presence of various degrees of minor trauma or without obvious trauma, and may present with kyphosis, hunchback and restricted movement. The pain can be posterior convexity, hunchback, and limited movement. Radiographs can reveal varying degrees of collapse and deformation of the spinal vertebrae, and some patients may have symptoms of nerve compression. The diagnosis of compression fracture is established when MRI is performed and a clear abnormal signal change of the vertebral body is found. Once the compression fracture is diagnosed and osteoporosis is more obvious in patients over 60 years old, consider performing vertebroplasty PVP, a minimally invasive surgical treatment with bone cement infusion, for very good pain relief with minimal surgical trauma, 0.5 cm incision, 1 ml bleeding, local anesthesia, and immediate postoperative pain relief. If the patient is relatively young and has relatively good bone strength, it is recommended that the patient undergo internal fixation with an arch nail. Percutaneous internal fixation of the pedicle nail is also a minimally invasive surgical treatment with an incision of 2 cm and bleeding of 5 ml. The patient is able to move on the floor soon after surgery. If there is a contraindication to surgery that prevents surgery, the fracture will need to be bedridden for at least three months before it can heal, and there is a risk of bedridden complications if the fracture does not heal over time.