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Compression fractures of the spine usually occur at the bottom part of the thoracic spine (T11 and T12) and the first vertebra of the lumbar spine (L1).Compression fractures of the spine generally occur from too much pressure on the vertebral body.ompression fractures of the spine usually occur at the bottom part of the thoracic spine (T11 and T12) and the first vertebra of the lumbar spine (L1).
1 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.3  Upper thoracic spine wedge fractures + sternum fractures. 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.