Thoracic spine fracture needs to be identified with the following diseases: First, vertebral hemangioma of the thoracic spine, which can cause chest pain and can be identified by CT or MRI. Thoracic spine fracture also needs to be identified with supraspinous ligamentitis, supraspinous ligamentitis can also lead to thoracic spine pain, so it needs to be identified by CT or MRI. Third, the thoracic spine fracture also need to be identified with the thoracic spinal canal tumor, through the MRI examination can distinguish the two. Thoracic spine fracture also needs to be identified with thoracic vertebral subluxation, thoracic vertebral fracture and thoracic vertebral subluxation can produce pain and nerve damage symptoms, through the CT examination can be identified.