Any surgery carries risks, and minimally invasive lumbar fracture in an 80+ year old may also carry risks, and it is recommended that the surgery be performed after a rigorous pre-operative evaluation to minimize the risks. When minimally invasive surgery is performed on an 80-something year old with a lumbar fracture, there may be a risk of infection at the site of the puncture, and there may also be damage to the lumbar cauda equina nerve as well as the nerve roots of the elderly during the puncture, resulting in risks of limb weakness and numbness, and impaired foot movement after the surgery. The 80s may be in poor physical condition, cardiopulmonary function is not good, in the process of surgery may occur breathing and cardiac arrest phenomenon. However, not all 80-year-olds with lumbar fracture do minimally invasive surgery have risks, 80-year-olds with lumbar fracture in minimally invasive surgery before, need to combine the body’s condition, under the guidance of the doctor to do a good job of the relevant examination, only a full understanding of the physical condition, to do the targeted treatment program, in order to reduce the risk of surgery.