A fractured vertebra in the thoracic spine is a serious injury that requires immediate medical attention. You should visit your nearest accident and emergency department without delay. Medical professionals will carry out an X-ray and possibly an MRI scan to assess the extent of the injury and determine the most appropriate treatment. The X-ray results will show whether the fracture is stable or unstable. Stable fractures are less severe, and you may be able to begin physiotherapy and gentle movement soon after diagnosis. In contrast, unstable fractures require immobilisation in a hard back brace, known as a halo, for a minimum of six weeks. In very severe cases—particularly where there is damage to major nerves or the spinal cord—surgery may be recommended.