Thoracic compression fractures can be treated conservatively, but not all compression fractures can be treated conservatively. The majority of simple thoracic compression fractures are stable fractures. If the patient undergoes CT or MRI, there are no obvious symptoms of nerve injury or spinal cord compression, and the compression fracture is relatively mild, then it is a mild fracture, and can generally be treated conservatively. If the patient undergoes MRI and has symptoms such as spinal nerve injury, resulting in motor sensory impairment of the lower extremities as well as spinal cord compression by MRI, or if the compression fracture has obvious fragmentation of the bone, then surgical incision and reduction with internal fixation is required. Conservative treatment of thoracolumbar compression fracture is mainly based on absolute bed rest, absolute bed rest for 6~8 weeks, after 6~8 weeks, you can wear thoracolumbar support for down to the ground functional exercise. Thoracic spine compression fracture during bed rest must prevent the occurrence of lower extremity deep vein thrombosis, pulmonary embolism, muscle atrophy, and bedsores and other complications. The patient should also periodically review the X-ray or CT examination to understand the healing of the fracture, and avoid early weight-bearing activities on the ground, so as not to cause the vertebral fracture compression aggravation. Whether a thoracic vertebral compression fracture is treated conservatively or surgically is ultimately a decision that needs to be made by a specialist after a comprehensive evaluation.