There are two types of lumbar fractures in most cases, one is a fracture of the lumbar spine due to trauma. In young patients, MRI of the lumbar spine and CT of the lumbar spine need to be actively improved to clarify the exact extent of the injury, and if surgery is indicated, active surgical treatment is required, which requires internal fixation with an incisional repositioning pedicle screw. If the fracture heals well, you can gradually get out of bed and walk under lumbar brace fixation. If conservative treatment requires active bed rest also for 6-8 weeks. Another case of lumbar fracture is considered to be lumbar spondylolisthesis, which can be firstly treated conservatively by taking down the lumbar girth fixation at rest, proper functional exercise of the muscles of the low back, anti-inflammatory and analgesic, nerve-nourishing drugs for symptomatic treatment. If conservative treatment does not provide good relief and the lumbar spondylolisthesis gradually worsens, surgical treatment is required, also by performing incisional repositioning pedicle screw internal fixation.