Typical case description: Female patient, 58 years old, with “pain in the chest and back for 3 hours due to a fall.” Admitted to hospital. Orthopedic conditions on admission: skin abrasions were seen on the thoracic back, covering an area of about 2x3cm, pressure pain in the lumbar 1 spinous process (+), percussion pain, lumbar muscle tension, restricted movement of the thoracolumbar spine, a 3cm×1cm was seen at the top of the head, which was debrided and sutured, with a small amount of blood and exudate, 2 small abrasions were seen on the left elbow, with no active bleeding and a small amount of blood and exudate. He had two small abrasions on the left elbow, no active bleeding, a small amount of blood and exudate, straight leg raise test of both lower limbs (-), normal abdominal wall reflex, normal knee reflex, normal Achilles reflex, patellar clonus (-), ankle clonus (-), Babinski’s sign (-), CT examination showed a burst fracture of the 12 thoracic vertebrae. After admission, all relevant examinations were completed. Under general anesthesia, “internal fixation of thoracic 10, thoracic 11, lumbar 1, arch root nail + thoracic 12 vertebral body fracture repositioning” was performed. Postoperative follow-up X-ray examination showed that the pedicle nail was well positioned and the fracture was well repositioned. On the second day after surgery, the patient was given a thoracolumbar brace to move around on the ground. After surgery, the patient recovered well and the wound healed well.