1.A period of fasting is required after trauma. (1) fractures of the thoracolumbar spine mostly occur in the thoracolumbar segment, fractures occurring in this location often form retroperitoneal hematomas of varying sizes, which can stimulate the abdominal nerve plexus, thus causing the activity of internal organs, reduced function, and causing abdominal distension; (2) the violence in which the fracture occurs is often large and may be combined with visceral injury at the same time, at the time of the injury may only be diagnosed with a spinal fracture, while the visceral injury is not serious at that time and is ignored. The possibility of delayed bleeding injury aggravated after the injury may delay the opportunity for emergency surgery if once feeding. 2. Turning before surgery and for more than 2 months after surgery (postoperative bed rest time, according to the surgeon’s medical advice) requires axial turning: one person simultaneously moves the patient’s shoulders and hips to turn. Turning must be synchronized with the shoulders and hips, and not to flex and extend the waist. 3.Pay attention to deep breathing and active choking and coughing during bed rest so that the lungs can be fully opened to prevent the formation of fluid in the lungs and the occurrence of pneumonia. 4. Pay attention to the active leg raising exercise of lower limbs during bed rest, which can promote the venous reflux of lower limbs and prevent deep vein thrombosis and serious embolism complications. 5.Patients with varying degrees of combined lower limb paralysis need family members or escorts to help move the joints that have lost movement, which can prevent muscle wasting atrophy and joint stiffness, and can also promote venous return of the lower limbs to prevent deep vein thrombosis and lead to serious embolism complications. 6, patients who are bedridden for a long time need to drink more water to prevent inflammation of the urinary tract. Patients with high paralysis need to perform bladder function training. The indwelling catheter should be clamped and opened regularly to avoid the formation of spastic bladder. Once the spastic bladder is formed, the patient’s bladder capacity is very small, resulting in a very high frequency of urination, which seriously affects life. 7. Before the fracture is healed, the patient cannot perform active lumbar back muscle functional exercise.