Abstract: With changes in lifestyle,the incidence of osteoporotic vertebral burst fractures is increasing.These fractures are prone to being underdiagnosed or misdiagnosed.In severe cases,they can lead to nonunion,kyphotic deformity,and even neurological injury.The best treatment plan for such unstable fractures has always been controversial. On the one hand, the fracture degree is severe and the morphology is complex, and there is no unified classification standard. On the other hand, the general condition and bone quality of the patients are poor, which affects the surgical decision.This article reviews the progress in the diagnosis and treatment of osteoporotic lumbar body blowout fractures.

Key words: thoracolumbar spine, osteoporosis, vertebral burst fracture, hybrid fixation