The majority of lumbar like breaks are due to lumbar spine slippage or lumbar spine instability, which can be seen in young people and also in the elderly. In young people it is often due to congenital poor development of the lumbar spine such as isthmus cleft of the vertebrae, when slippage of the lumbar spine can occur. Older people often have ligamentous laxity and degeneration of the intervertebral discs due to degeneration, resulting in slippage and instability of the lumbar spine, which can lead to significant pain in the waist, and many patients have pain as if the waist is broken. At this time, X-ray, CT and MRI of the lumbar spine should be performed for further diagnosis. If the slippage is severe, most patients need to undergo surgery to fix the lumbar spine so that the pain is relieved or disappears.