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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 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 radiographs.  20% of thoracolumbar fractures are seen in association with other skeletal injuries: