Whether a comminuted lumbar fracture can be treated conservatively depends on whether the fracture is displaced and whether there is compression of the spinal cord and nerves. Lumbar vertebrae comminuted fracture indicates that the violence suffered is relatively large, if the fracture is not obviously displaced, the spinal cord and nerves are not compressed, you can take conservative treatment. Mainly bed rest for 2~3 months, avoid getting out of bed activities, flat axis turn over, follow the doctor’s instructions oral blood and bone drugs to promote fracture healing, such as musk bone capsule or Qin Pi bone capsule. When the fracture is healed, you can wear chest and waist support to move down to the ground. If the fracture is displaced, the lumbar spine is unstable, and the spinal cord and nerves are compressed, the situation is more serious and cannot be treated conservatively. Surgical incision and repositioning nail rod fixation is required. Therefore, whether a comminuted lumbar spine fracture can be treated conservatively or not needs to be decided according to the specifics of the fracture and the patient’s symptoms.