A thoracic fracture is a break or crack in one of the 12 vertebrae in the middle of your spine (T1-T12). These bones are part of your rib cage, giving the thoracic spine extra stability, but they can still break under significant force or due to weakened bone structure.

One common type is a compression fracture, where the vertebra collapses or is crushed, often at the front, creating a wedge shape. This is especially common in conditions like osteoporosis, where bones become brittle.

 

What Causes Thoracic Fractures?

  • Trauma: High-impact injuries from car accidents, falls, or sports.
  • Osteoporosis: Weak bones are more prone to compression fractures, often from something as simple as sneezing or bending.
  • Cancer or Disease: Tumors or conditions that weaken bone structure can lead to fractures.

What Are the Symptoms?

  • Mid-Back Pain: Often sharp and intense, worsening with movement or pressure.
  • Height Loss: Over time, compression fractures can cause a noticeable decrease in height.
  • Hunched Posture: Multiple fractures may lead to a rounded back (kyphosis).
  • Nerve Symptoms: If the fracture affects the spinal cord or nerves, tingling, numbness, or weakness may occur.

Types of Thoracic Fractures

  • Compression Fractures: The most common, especially in older adults.
  • Burst Fractures: When the vertebra breaks in multiple places, potentially compressing the spinal cord.
  • Fracture-Dislocations: Severe fractures that also involve dislocation of the vertebrae, often from major trauma.

How Are They Treated?

Treatment depends on the type and severity of the fracture:

  • Stable Fractures (like mild compression):
    • Rest, bracing, and activity modification.
    • Medications to manage pain and address underlying bone loss (like osteoporosis).
    • Physical therapy to strengthen muscles and improve posture.
  • Unstable or Severe Fractures (like burst fractures):
    • Surgery may be needed to stabilize the spine, relieve pressure on nerves, or restore alignment.
  • Bone Health Management: Calcium, vitamin D, and possibly medications to strengthen bone density.

Why It Matters

Thoracic fractures, especially compression fractures, can significantly impact posture, mobility, and quality of life if untreated. The sooner they’re addressed, the better your spine can recover—and we’re here to help you every step of the way.

Your spine’s strength is key to keeping you upright and active—let’s keep it that way!