The lumbar plate should be taken out in general, but some patients can not take out the lumbar internal fixation plate because of the advanced age, physical weakness or longer time without rejection reaction. 1. Elderly: It is generally recommended that patients over 60 years old do not need to remove the internal fixation plate if there is no abnormal reaction. However, if the patient is under 60 years old, most of the patients are recommended to take out the internal fixation plate. 2. Weakness: If you want to take out the internal fixation, you need to perform surgery again, but many patients because of weakness, malnutrition or coronary heart disease, chronic bronchitis and other diseases lead to poor health, can not tolerate the second surgery, can not be taken out. 3. No rejection reaction: after a long period of postoperative observation, patients without local pain or no rejection reaction, you can consider not to take out. Specifically need to remove the plate, but also according to the surgical method, internal fixation material and other factors by the specialist doctor comprehensive judgment to decide. For most patients, as long as the physical condition permits, even if there is no abnormal manifestation, it is also recommended to remove the lumbar internal fixation plate.