Patients with thoracic spine osteophytes should first consider non-surgical treatment, and then consider surgical treatment if the non-surgical treatment is not effective, as well as the prevention of further development of thoracic spine osteophytes. Non-surgical treatment of thoracic spondylolisthesis, first of all, is adequate rest, or limit the amount of activity of the thoracic spine, and with massage physiotherapy, can play a role in activating blood stasis, regulating meridians, rectifying meridians, as well as unblocking meridians. Medication is also effective, with topical and oral medications to relax the tendons and activate the blood, both of which can play a role in treating both the symptoms and the root cause. Acupuncture therapy can open up the meridians and activate the blood, and also has a pain-relieving effect, which can eliminate the inflammation of the thoracic vertebral osteophytes and other areas, especially to eliminate edema. Other treatments are also available, when necessary, such as closed therapy, direct current drug ionization therapy, etc. If the above conservative treatment is not effective, surgery can also be considered. Patients with thoracic spondylolisthesis should consider surgery if conservative treatment is not effective and seriously affects the quality of life of the patient. Prevention of thoracic spondylolisthesis is also very critical, appropriate exercise of the lumbar back can relax the tense muscles and ligaments, avoid incorrect body posture, such as frequent head-down work, frequent bending work, as well as excessive weight bearing.