Patients with lumbar 1, lumbar 2 vertebral fracture should first clarify the degree of fracture and clinical manifestations, and then choose the appropriate treatment. If lumbar 1, lumbar 2 is Ⅰ degree vertebral compression fracture, the patient feels pain in the lumbar region, bending difficulty, no nerve injury symptoms, can consider conservative treatment, mainly to rest, rest, keep warm. The patient is instructed to sleep on a hard board bed, and the lumbar region is fixed with a brace to strengthen the stability of the lumbar vertebrae and prevent the fracture from being dislocated. At the same time, oral bone grafting medication such as Yunnan Baiyao, Shu Jiao Zhi Xue Blood Tablet, fracture contusion loose. If the patient’s lumbar 1, lumbar 2 vertebrae are II degree or III degree fracture, and the patient has symptoms of nerve injury in the lower limbs, decreased sensation and numbness in the lower limbs, decreased muscle strength, and abnormal bowel movement, surgical treatment is needed, which can be conventional incision and reset, decompression, bone grafting, and internal fixation of the nail-rod system at the same time.