Whether a lumbar fracture can heal on its own needs to be judged in the context of the cause and severity of the condition. A lumbar fracture caused by trauma can heal on its own, but only if the fracture is not serious, such as a simple lumbar transverse process fracture or collapse less than 1/4, and the stability of the spine has not been damaged, such patients can take bed rest, wear a lumbar brace, avoid bending, lumbar hyperextension, lateral flexion and other actions to maintain the stability of the lumbar spine, which can generally heal on its own. If the lumbar fracture is more serious and compresses the nerve, it cannot heal on its own and needs to be treated with lumbar fracture incision and repositioning surgery. If it is a pathological lumbar fracture, it also cannot heal on its own. Pathological fractures first require treatment of the primary disease, such as lumbar spine tuberculosis, lumbar spine tumors or other lumbar spine infectious diseases, and the lumbar fracture can only heal after the underlying disease has healed. After a lumbar spine fracture occurs, the patient can be treated with blood-stasis activating drugs and pay attention to rest, avoiding prematurely engaging in heavy physical labor, and avoiding repeated bending, prolonged standing, prolonged sitting and other poor postures.