Thoracic spine fractures and back rib fractures are not comparable. Thoracic vertebrae fracture and back rib fracture have different injury parts and treatment methods. 1. Thoracic vertebrae fracture: thoracic vertebrae is in the front of the chest, after the fracture, it is easy to cause the heart as well as the mediastinum of the contusion, the fracture is caused by the heavier violence, if combined with cardiac injuries, first of all, we should repair the loss of organs, to avoid causing circulatory disorders, and then fixation of the fracture, which tends to be more serious. 2. Back rib fracture: back ribs are on both sides of the thorax, after the fracture generally does not lead to heart injury, most of them can be treated conservatively. Most of the fracture can be treated conservatively, mainly with rest and recuperation and chest belt fixation, during which some medicines for activating blood circulation, removing blood stasis and relieving pain will be given according to the doctor’s suggestion. However, if there are complications, such as pneumothorax and pleural effusion, surgery is needed. Both of them need to pay high attention and take timely and effective measures to prevent serious complications.