Thoracic Spine Fracture 

Most fractures of the thoracic spine occur in the lower region, located around the T11-L2 region. Major, high energy type trauma is the most common cause for thoracic spinal ractures such as a fall from heigh or a high speed road traffic accident. However, those with an underlying health condition which affects bone mass, such as osteoporosis, can be at risk of minor trauma / fragility type fractures. Typically there are 4 type of spinal fracture, however the most commonly seen is a compression or wedge fracture.

People with a potential thoracic spine frature usually report:

• A sudden onset of pain which can be severe. In younger patients they may report a trauma (such as a fall) however those with osteoporosis may find it difficult to identify a specific mechanism of injury

• Pain located around the thoracic / lumbothoracic area

• Decreased range of movement

• Decreased respiratory function / ability to take a deep inspiration

• Increased thoracic kyphosis – particularly in ostoporotic patients which a chronic history of compress / wedge fractures.

• Decreased gait / cadence.

People with a new thoracic spinal fracture may demonstrate:

• Back Pain

• Pain on palpation

• Potentially a possible step on vertebral palpation

• Potential bruising

• Decreased range of movement

If a fracture is suspected with both the history and physical examination then it can be confirmed via further investigation such as an X-Ray

Compression fracture can be treated conservatively and physiotherapy can help by:

• Advice and education

• Pain management

• Activity modification

• Potential bracing if deemed appropriate

• Home exercise programme

• Soft tissue massage