目的：探究老年骨质疏松性胸腰椎压缩骨折的微创治疗效果。方法：选取我院2012年12月~2020年6月收治的骨质疏松性胸腰椎压缩骨折患者150例，根据不同椎体成形手术方式的不同分成PVP组、PKP组和手法PVP组，PVP组采取经皮椎体成形术治疗，PKP组采取经皮球囊扩张椎体后凸成形术治疗，手法PVP组采取手法复位经皮椎体成形术治疗，比较3组治疗效果。结果：PVP组、PKP组、手法PVP组术后VAS评分均低于术前，分别为(2.13 ± 0.80)、(2.10 ± 0.75)、(2.02 ± 0.85)，P Objective: To explore the osteoporotic vertebral compression fractures minimally invasive treatment. Methods: In our hospital, osteoporotic vertebral compression fractures were 150 cases, depending on the different surgical methods vertebroplasty group into PVP, PKP group and group practices PVP, PVP group take Percutaneous vertebroplasty treatment, PKP group took percutaneous balloon kyphoplasty treatment, manipulation PVP group take manual reduction percutaneous vertebroplasty treatment compared three groups of treatment. Result: The postoperative VAS scores of PVP group, PKP group and manual PVP group were all lower than those before operation, (2.13 ± 0.80), (2.10 ± 0.75), (2.02 ± 0.85) respectively, P