Inclusion Criteria:  • Must be age between 40 and 90 years old  X-ray diagnosis of 1-2 vertebral compression fractures DEXA detected BMD T value less than -1 fracture history lasted within 6 weeks MRI showed bone marrow edema of injured segment Lower back pain, local spinous tenderness  Exclusion Criteria:  • Must be able to have no posterior vertebral wall fracture  Must be able to have no intervertebral fissure Must be able to have no infection Must be able to have no malignancy Must be able to have no neurological dysfunction Must be able to have calcium level less than 2.13 mmol/L Must be able to have no previous use of anti-osteoporosis drugs Must be able to have no inability to perform magnetic resonance imaging Must be able to have no prior back surgery Must be able to have no other established contraindications for elective surgery