Bruising in the middle of the spine of the back may be caused by trauma, light may be soft tissue injury, serious may lead to spinal fracture, treatment includes conservative treatment and surgical treatment. 1. Soft tissue injury: if it is a mild soft tissue injury, generally do not need special treatment, appropriate rest, local bruises can be given hot compresses to promote local blood circulation, can gradually dissipate. 2. Spinal fracture (1) Conservative treatment: for stable spinal compression fracture or fracture, without nerve compression symptoms, conservative treatment can be taken, bed rest for 4-8 weeks, local pain can be prescribed oral non-steroidal drugs such as ibuprofen, celecoxib capsules. (2) Surgical treatment: If the spinal fracture shows obvious nerve compression symptoms, such as pain and numbness in the buttocks and lower limbs, surgical treatment can be considered. Strict bed rest is required for 3~4 weeks after surgery, and active rehabilitation training is carried out under the doctor’s guidance to promote early recovery. Patients with bruises in the middle of the spine are advised to seek early hospital consultation to clarify the cause of the disease and then proceed with standardized treatment.