Abstract: Osteoporotic vertebral compression fractures (OVCFs) are the most common fractures in the elderly population,significantly impacting patients’ health and quality of life.This article reviews the diagnostic and therapeutic advancements in the management of elderly patients with osteoporotic thoracolumbar vertebral compression fractures.In terms of diagnosis,clinical manifestations and imaging examinations are crucial.While X-ray remains the preferred imaging modality,MRI offers higher sensitivity in identifying OVCFs,with promising new MRI technologies expected to further enhance diagnostic accuracy.Regarding treatment,conservative management and minimally invasive surgery are commonly employed methods.In addition to traditional minimally invasive techniques such as PVP and PKP,novel approaches such as vertebral augmentation with implant-based systems and robot-assisted vertebral augmentation are continuously evolving.

Key words: osteoporosis, thoracolumbar compression fractures, minimally invasive treatment