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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).
The burst fracture is categorized by the  severity of the deformity, the severity of (spinal) canal compromise, the degree of loss of vertebral body height, and the degree of neurologic deficit.  Burst fractures are considered more severe than compression fractures because long-term neurological damage can follow.onsurgical management is possible when the burst fracture subject is intact neurologically. Nonsurgical treatment involves the use of a full-body, exterior brace, normally a Thoracic Lumbar Sacral Orthosis (TLSO), often custom-molded to the subject's body.