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The thoracolumbar spine is the anatomical frontier where the thoracic spinal region meets the lumbar spinal region.he lumbar spine, on the other hand, is the place where disc degeneration and spinal arthritis are almost universal in human adults. The lower back must constantly bend and flex, carrying huge loads of stress which obvious wear down the vertebrae and intervertebral discs as part of their normal lifespans.
1 60-70% of thoracolumbar spine fractures in adults occur at T12, L1 and L2, with 90% of all fractures being seen between T11 and L4. 2  It is therefore important that T11/T12 is included on all trauma lumbar spine films. It is therefore important that T11/T12 is included on all trauma lumbar spine films. 2  20% of thoracolumbar fractures are seen in association with other skeletal injuries: Compression fracture at thoracolumbar junction + fractures of the os calcis.