(Disclaimer: This article is for general use only, and the information in the following content has been processed to protect patient privacy) Abstract: Thoracic spine fracture dislocations are mostly caused by severe high-energy injuries, and patients mainly present with local pain, pressure pain, and percussion pain. The patient was admitted to the hospital with thoracic vertebrae and rib fracture, with retrognathism of the spinous process and local pain symptoms, and was diagnosed as “thoracic vertebrae fracture”. [Basic information] Male, 45 years old [Disease type] Thoracic fracture [Hospital] The First Hospital of China Medical University [Consultation date] December 2021 [Treatment plan] Surgery (anterior transthoracic surgery) + medication (injectable sodium methylprednisolone succinate, mannitol injection, monosialic acid tetrahexose ganglioside sodium injection, injectable cefoperazone sodium, injectable streptomycin sulfate) The patient was discharged from the hospital after the patient’s condition improved and he could walk in bed with a brace. He mainly presented with chest and back pain with chest tightness, breath-holding, cough and sputum, with abdominal pain, abdominal distention and urinary retention. The patient was given a CT examination, which showed a fracture of the thoracic 8 vertebrae, bilateral lung contusions, bilateral pleural effusions, scoliosis, kyphosis and fusion deformity of the thoracic 9-11 vertebrae. On surgical examination, the patient showed pressure pain in the thoracic back, local percussion pain, a small amount of wet rales on auscultation of both lungs, swelling of the left thigh, pressure pain, local bruising of a large area of skin, palpable volatility, and good blood flow in the skin. The preliminary diagnosis was “thoracic vertebral fracture”. In order to release the spinal nerve compression, correct the deformity and restore the stability of the spine, the patient was recommended to undergo anterior transthoracic surgery. The operation went smoothly and the patient returned to the ward after awakening from anesthesia. Postoperatively, the patient was given intravenous sodium methylprednisolone succinate for injection, which could quickly and significantly improve the patient’s nerve injury, as well as mannitol injection to reduce extracellular edema, monosialic acid tetrahexose ganglioside sodium injection to nourish the nerves, and cefoperazone sodium for injection and streptomycin sulfate for injection to prevent postoperative infection. On the 2nd postoperative day, the intravenous drip of sodium methylprednisolone succinate was stopped. On the third postoperative day, the patient was asked to carry out rehabilitation training with the help of the rehabilitation doctor. The patient was reluctant to move around due to wound pain, and I explained the importance of early functional exercise to the patient and his family, and the patient agreed to start rehabilitation therapy after being persuaded by his family. On the 7th postoperative day, the patient’s edema symptoms were relieved and the inflammatory reaction disappeared, and the injectable mannitol injection, injectable cefoperazone sodium, and injectable streptomycin sulfate were discontinued. After 15 days of continuous treatment, the patient’s symptoms improved significantly, and the nerve-nourishing drugs, sodium tetrahexose monosialate ganglioside injection, were discontinued. The patient was treated with surgery and medication after admission, and her condition stabilized in about 10 days, her vital signs were stable, and the pleural effusion was controlled to the normal range. 15 days later, the chest CT was repeated, and the fracture site of the thoracic 8 vertebrae was gradually healed, most of the bleeding was absorbed, the pleural effusion was significantly reduced, and the symptoms of chest tightness, breath-holding, coughing, abdominal distension and urinary retention were improved. The patient was discharged from the hospital. The patient’s condition improved and her mood was cheerful, and I felt very relieved about this. However, since the patient’s condition is stable but not yet cured, he should still pay attention to insist on rehabilitation training after discharge. Insist on muscle massage, from distal to proximal, to promote blood circulation and prevent symptoms such as joint stiffness and muscle atrophy. At the same time, patients should pay attention to strengthening nutrition and eating more high-protein and high-vitamin foods, such as fish, beef, spinach, apples, etc. In addition, to ensure a good recovery, patients must wear a brace when getting up and moving on the ground within 3 months, and should not stand and walk for too long. Regular outpatient review and timely consultation if there is any discomfort in the low back. V. Personal insight Rehabilitation training should be carried out as early as possible after thoracic spine fracture surgery, which can effectively prevent joint stiffness and muscle atrophy, as well as avoid deep vein thrombosis to a certain extent, and promote appetite through physical exertion. Many patients in the clinic, like the patient in this article, are reluctant to perform appropriate activities due to trauma pain and negative treatment, which is actually not conducive to recovery. The patient in this case was eventually persuaded to accept rehabilitation treatment, which to a large extent laid a solid foundation for the later recovery.