Lumbar 1 vertebrae with wedge-shaped changes can be treated by the following methods: First, conservative treatment: mild vertebral wedge-shaped changes, with compression not exceeding 1/3 of the vertebral height, can be treated conservatively, mainly by bed rest. After the patient’s pain symptoms are relieved, he should insist on the exercise of the lumbar back muscles to improve the stability of the lumbar spine and promote fracture recovery. Second, surgical treatment: moderate and severe lumbar wedge deformation needs to be considered for surgical treatment, mainly because the stability of the lumbar spine is seriously damaged. The surgical method mainly includes two ways, one is balloon-expanded vertebroplasty, which is minimally invasive surgery, and the other is incisional repositioning, internal fixation, and bone graft fusion, which is suitable for burst lumbar fractures. Through the above methods of treatment, it can make the lumbar 1 vertebral wedge become to rapidly improve and restore the normal weight-bearing function of the lumbar spine.