Spinal pain in the back can be caused by several reasons: 1, osteoporosis, when osteoporosis of the spine can have pain in the back, for pain at the spine, which can be accompanied by compression fractures. This is diagnosed by examining X-rays, CT and blood tests of the spine and, if necessary, by visiting the endocrinology department to find out the cause; 2, tumor diseases, such as tumors or metastases in the thoracic spine, which can have pain in the upper back spine, often accompanied by systemic symptoms, such as hypothermia or wasting, which is diagnosed by examining MRI and blood tests of the spine; 3, spinal tuberculosis, when the vertebrae of the spine have tuberculosis. When the vertebrae of the spine have tuberculosis, there can also be pain in the back spine, often accompanied by low fever. This is diagnosed by CT, MRI and blood tests of the spine; 4, supraspinous ligamentitis, supraspinous ligamentitis can have pain at the supraspinous ligament, often at the spinal spinous process, which is diagnosed by early physical examination and examination to exclude other diseases.