OSHA Workplace Injury Research

Thoracic Back Injuries at Work

OSHA recorded 145 severe thoracic spine injuries that required hospitalization or surgery over the last decade.

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How often these injuries happen

OSHA recorded 145 severe thoracic spine cases between 2015 and 2025. Fractures account for 85 percent of these incidents, often requiring extensive medical intervention and long-term recovery.

Damage to the thoracic region is particularly debilitating because it supports the rib cage and protects vital internal organs. A fracture in this area can severely limit your mobility, restrict your ability to lift or twist, and threaten your long-term earning capacity in physically demanding roles.

Reported Projected
010203020152026
Data: Federal OSHA Severe Injury Reports (29 states). 2025 and 2026 data forecasted by ClaimsBoost research team.

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How these injuries happen

Falls are the primary driver of thoracic spine trauma, with other falls to a lower level accounting for 43 percent of all reported cases. Whether you experience a ladder kicking out on a construction site or a slip on a wet floor in a commercial kitchen, the force of a sudden impact against a hard surface frequently results in spinal fractures.

1 Other fall to lower level
Incidents
62
Share
43% of reported incidents
2 Fall on same level
Incidents
35
Share
24% of reported incidents
3 Struck by falling object
Incidents
15
Share
10% of reported incidents
4 Fall to lower level from collapsing structure or equipment
Incidents
6
Share
4% of reported incidents
5 Nonroadway noncollision incident
Incidents
5
Share
3% of reported incidents
6 Overexertion while materials moving by hand
Incidents
3
Share
2% of reported incidents
7 Struck by rolling powered vehicle or machinery
Incidents
2
Share
1% of reported incidents
8 Violent acts by other person— unspecified
Incidents
2
Share
1% of reported incidents
Cause Incidents Share
1Other fall to lower level 6243% of reported incidents
2Fall on same level 3524% of reported incidents
3Struck by falling object 1510% of reported incidents
4Fall to lower level from collapsing structure or equipment 64% of reported incidents
5Nonroadway noncollision incident 53% of reported incidents
6Overexertion while materials moving by hand 32% of reported incidents
7Struck by rolling powered vehicle or machinery 21% of reported incidents
8Violent acts by other person— unspecified 21% of reported incidents

Where injuries happen most

Construction leads all sectors with 24 percent of reported thoracic injuries, largely due to the high-risk nature of working at heights. Manufacturing follows at 19 percent, where you are often exposed to heavy machinery and uneven floor surfaces that increase the risk of a catastrophic fall.

Construction 24%
Manufacturing 19%
Retail Trade 12%
Transportation & Warehousing 10%
Health Care 9%
Other 26%

Real cases like yours

Common patterns in these reports involve you falling from ladders, scaffolding, or elevated platforms while performing routine inspections or maintenance. These incidents often stem from equipment failure, such as loose steps or unstable walk boards, which leave you with little time to react before striking the ground. If your injury occurred during a similar fall or due to unsafe equipment, an attorney can help you evaluate the evidence.

Year State Industry Incident summary

Source: OSHA Severe Injury Reports. Narratives are verbatim from filings; identifying details may have been redacted by OSHA.

Frequently asked questions