Fractures of the back usually include scapula fractures, posterior rib fractures, or thoracic spine fractures. In the case of a scapula fracture, where displacement is not significant, the affected upper extremity is usually given external immobilization with a tricot or forearm immobilization band for about 4-6 weeks, and the bone grows and stabilizes. In the case of a rib fracture, external immobilization with a chest strap is usually given for about 4-6 weeks. If there is a fracture of the thoracic vertebrae in the back and it is a transverse process fracture or a minor compression fracture of the vertebrae, bed rest is the mainstay, and you can usually start to get up and move around after about 6-8 weeks of bed rest. If the misalignment of all the above fractures is very obvious, or if the nerves are compressed or if the rib fracture punctures the lungs and leads to a hemopneumothorax, surgical treatment is necessary, and internal fixation surgery is performed after repositioning.