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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).
Vertebral compression fractures can be caused by osteoporosis, trauma, and diseases affecting bone (pathologic fracture). 1  Osteoporosis.  Osteoporosis is a disease of bone in which bone density is reduced, which may increase the chance that a person could sustain a vertebral compression fracture with little or no trauma.