(Disclaimer: This article is for general use only. In order to protect patient privacy, the information in the following content has been processed) Abstract: The patient in this case, who fell from a height at home accidentally, injured the thoracic spine and left thoracic back, felt severe pain and limited movement, and was admitted to our hospital for treatment in emergency 120. He was hospitalized for 2 weeks, recovered well, and rested at home for 3 months, and the results of the review indicated that the fracture was recovered. Basic information】Male, 55 years old 【Disease type】Thoracic vertebral fracture 【Hospital】The First Hospital of China Medical University 【Time of consultation】June 2021 【Treatment plan】Surgical treatment (incision and internal fixation) + medication (cefradine for injection) 【Treatment period】Hospitalization for 2 weeks, home observation for 3 months 【Treatment effect】The fracture was recovered and the activity was not restricted. According to the family, the patient fell from a height of 3 meters while working at home one hour ago and landed on his left torso first, injuring his chest and lumbar region. Physical examination showed that there was a posterior protrusion deformity of the thoracic 3 and 4 spines; there was pressure pain and percussion pain in the spine, and the movement of the spine was limited; pressure pain in the left side of the thoracic back, and a bone rubbing sensation could be palpated; CT examination was performed, and the preliminary diagnosis was thoracic vertebral compression fracture, multiple transverse process fracture, multiple rib fracture, and thoracic cavity blood accumulation. The patient underwent surgery under general anesthesia and was treated with incision and internal fixation for thoracic vertebral fractures and rib fractures. We advised the patient’s family to closely observe the patient’s postoperative symptoms such as hypoxia and cyanosis, and instructed the patient to properly cough up sputum to prevent lung infection. The patient’s surgery was successful, and the patient followed the doctor’s orders after surgery. X-ray and CT examination 2 weeks after surgery showed that the fracture site recovered well without any abnormalities such as misalignment, and the patient agreed to be discharged. 3 months after surgery, the patient’s follow-up results indicated that the thoracic vertebrae and the fracture site had recovered normally, and the patient reported normal back and chest activities without obvious pain, indicating that the surgery was effective and the patient had basically recovered. The patient recovered well after surgery, and the family and I were very happy. Before discharge, I advised the patient again and again that although he could be discharged from the hospital now, he still needed to take a good rest after he went home, and it was not recommended to continue working at home, especially carrying heavy objects and lifting things, but he could do appropriate activities in the company of his family, and at the same time, he could enhance nutrition properly, and he could eat more protein and calcium such as fish, shrimp, shrimp, etc. The food with high content of calcium will also have a certain role in promoting the subsequent bone recovery. V. Personal insight Similar to the older patients in this article, after a fall from a height, more likely to occur thoracic compression fractures, it should be noted that when a fall from a height, severe pain in the chest, waist, back, etc., can not be normal activities, the first should be alert to the emergence of thoracic and lumbar fractures, do not move the patient at will, so as not to move the patient’s secondary injury, causing more serious Consequences, should learn with the family in this article, immediately seek the help of medical personnel, and choose the appropriate treatment according to the degree of injury of the patient.