Pain in the middle of the back spine is commonly caused by the following: first, ligament inflammation, which includes supraspinous ligamentitis and interspinous ligamentitis, these two ligaments are mainly responsible for connecting the adjacent spinous process and the vertebral plate, the patient will have severe pain symptoms, mainly related to strain, the pain point is relatively fixed, and the pain symptoms are aggravated when pressed. Second, spine fracture, the patient suffered a sudden trauma, the back muscle ligament sudden force, can produce a spine fracture, which causes pain symptoms in the middle of the back spine, usually accompanied by significant swelling, limited movement, taking X-rays or three-dimensional CT reconstruction, you can find the part of the fracture and the severity. Pain in the middle of the back spine needs to be treated promptly, otherwise the patient’s quality of life will be significantly reduced.