Spinal fracture is a common type of fracture in clinical work, most patients are treated conservatively, but some patients must have surgery. The indications for surgery are as follows: 1) spinal fractures that damage the spinal cord and peripheral spinal nerves must be operated; 2) burst fractures of the lumbar or thoracic spine or even the cervical spine, resulting in vertebral or spinal instability, which will affect the patient’s future learning and life, this situation must be operated; 3) fractures accompanied by subluxation or subluxation, occupying more than half of the spinal canal or vertebral compression of more than 1/3, also requires surgery The fracture must be operated. The more accurate method of indication for surgery in China is the American TLICS scale, which is related to the degree of damage to the vertebral body and the degree of repair of damage to the surrounding ligaments, and this scale is generally greater than 4 points or more, to be treated surgically.