l1 Vertebral compression obsolete changes are recommended to choose conservative observation, non-steroidal drug treatment and surgical incision and decompression internal fixation according to the degree of fracture and different conditions. 1. If the old compression fracture is not serious, does not lead to spinal stenosis or nerve compression, and does not have obvious symptoms, no special treatment is needed, and regular follow-up with CT and other imaging examinations is sufficient. 2. If the fracture is not serious but accompanied by symptoms such as back and leg pain, local physical therapy, massage and other physical therapy, as well as non-steroidal anti-inflammatory and analgesic drugs such as diclofenac sodium, are recommended to alleviate the symptoms. 3. If the old compression fracture is more serious, with spinal canal stenosis and secondary nerve injury, it is recommended to perform surgical incision, decompression and internal fixation. It is recommended to go to the hospital for further examination, and the corresponding treatment will be carried out under the doctor’s advice. Medications should be used according to the doctor’s prescription.