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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).
If the anterior height of a vertebral body is 3mm or more less than the posterior height, this is evidence of a wedge-compression fracture. The distance between the posterior aspect of the arch of C1 and the anterior aspect of the odontoid peg should be no more than 3mm in adults and 5mm in children. Assess Harris' ring at the base of C2, overlying the vertebral body. This should remain unbroken anteriorly, posteriorly and superiorly.