“…Second, compression fractures in the setting of thoracic spine EMH appear to be rare. To our knowledge, there is only one reported case of a T11 compression fracture without vacuum phenomenon in the setting of thoracic spine EMH causing paraplegia; the patient was treated with T8 to L2 posterior decompression and fusion resulting in full neurologic recovery [11] . There are no reported cases of concomitant intravertebral vacuum phenomenon.…”