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To determine the mechanisms of injury and clinical findings significantly associated with traumatic thoracic spine (T‐spine) fractures.

This was a case‐control study in a tertiary adult trauma centre. Cases were patients admitted with traumatic T‐spine fractures between January 1999 and August 2007, inclusive. Each case had two controls matched for gender, age and injury severity. Data were collected from patient medical records and the trauma service database. Factors potentially associated with T‐spine fracture were derived from the literature, expert consensus and univariate analysis. Multivariate logistic regression was employed to determine factors significantly associated with T‐spine fracture.

Two hundred and sixty one cases and 512 controls were enrolled. Univariate analysis showed the mechanisms of fall from a height ≥2 meters (m) and motorbike accident ≥60 kilometers …