Fractures of the back usually include scaphoid fractures, posterior rib fractures or thoracic vertebral fractures. In the case of scaphoid fractures, the displacement is not very obvious and the affected upper limb is usually given external fixation with a triangular scarf or forearm fixation belt for about 4-6 weeks for the bone to grow and stabilize. In the case of rib fractures, external fixation with a chest strap is usually given for about 4-6 weeks. If it is a fracture of the thoracic spine 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 getting up and moving around after about 6-8 weeks of bed rest. If the misalignment of all the above fractures is very obvious, or if the nerve is compressed or the rib fracture pierces the lung and causes hemopneumothorax, surgical treatment must be taken and internal fixation is performed after repositioning.