With the aging of the population, there are more and more patients with osteoporosis, especially among elderly women, osteoporosis patients are very common, often manifested as low back pain, and fractures can occur after minor trauma, such as thoracolumbar vertebrae fracture, hip fracture, wrist fracture, shoulder fracture and so on. Thoracolumbar compression fractures are the most common. Thoracolumbar compression fracture is common in middle-aged and elderly osteoporosis patients, inadvertent fall, stooping and lifting heavy objects (some patients carry pots of water, or move a bed quilt), sneezing, coughing, after the appearance of the lower back persistent, obvious pain (even some patients have no cause of back pain, the initial diagnosis of coronary heart disease, after careful examination was found to be the thoracic spine compression fracture), the X-ray film can be a wedge-shaped change in the vertebral body, compression and flattening, and there are also There is no obvious abnormality on the X-ray, and these patients can be found to have a fresh fracture of the vertebrae by MRI or bone scan. These patients will gradually develop a hunchback, persistent back pain, forward shift of the center of gravity, unsteady walking, and even cardiorespiratory function, which seriously affects the quality of life. In the past, patients would be advised to stay in bed for more than 1 month for conservative treatment, but bedridden complications such as decubitus ulcers, lower limb thrombosis, lung infection, urinary tract infection, etc. would occur in bed, and the weekly bone loss of patients during the period of bedridden accounted for 1% of the total amount of bone, which is equivalent to the physiological bone loss of a year in normal conditions. Fractures in osteoporotic patients heal poorly, and they may still have low back pain three to six months after the fracture. Some people also choose open surgery, but open surgery is high risk and traumatic for elderly patients with poor physical condition, and cannot be tolerated. Currently, local anesthesia minimally invasive vertebroplasty or kyphoplasty can be a good solution to this problem. This procedure has been performed for more than 20 years both at home and abroad, and our department completes more than 300 cases every year. Vertebroplasty or kyphoplasty is a kind of local anesthesia surgery, the whole procedure takes 20-30 minutes, the patient is awake during the surgery, so the risk of the surgery is very low, the surgical procedure is to stick a needle into the patient’s vertebral body through the skin under fluoroscopic guidance, and then inject the “bone cement” into the vertebral body after the fracture is properly repositioned, and wait for the cement to solidify and support the fractured vertebral body in 10-15 minutes. After the cement has solidified and supported the fractured vertebrae, the puncture needle is removed and the procedure is complete, with a very small puncture that does not require sutures. The effect of this kind of surgery, in the words of many patients who have undergone this kind of surgery, is “amazing”. The amazing thing is that when the patient lies down on the surgical bed from the flat car, the pain caused by this is very painful, and the pain basically disappears when the surgery is finished and lying back on the flat car again, and the patient can go down to the ground to move around, eat, and the next day can be discharged from the hospital to live a normal life, without the need to continue to lie down and eat. The next day, the patient can leave the hospital and live a normal life, without the need to continue to stay in bed and take painkillers.