Midthoracic

Midthoracic is a descriptive term used in anatomy and medicine to denote the middle portion of the thoracic region, encompassing parts of the thoracic spine and chest wall. In spinal anatomy, the midthoracic segment is commonly taken to include approximately the T4 through T8 vertebral levels, though exact boundaries vary among sources. This region lies between the upper thoracic (roughly T1–T4) and lower thoracic (roughly T9–T12) segments and corresponds to a portion of the thoracic kyphosis. The vertebrae articulate with the corresponding ribs, forming the thoracic cage, which provides protection for mediastinal structures and supports respiration.

Clinical relevance: The midthoracic spine can be affected by traumatic injuries, degenerative disease, and osteoporotic compression fractures, particularly in older adults. High-energy trauma can produce fractures of the vertebral body, pedicles, or posterior elements with potential canal compromise and neurologic injury. Pain in this region may arise from facet joints, intervertebral discs, vertebral bodies, muscles, or ribs.

Imaging and diagnosis: Plain radiographs are often obtained initially, with CT providing detailed fracture characterization and MRI assessing bone and soft tissue injury, including the spinal cord and intervertebral discs.

Management: Treatment depends on stability, fracture pattern, and neurologic status. Stable compression fractures may be managed conservatively with bracing; unstable injuries or those with neurologic deficit may require surgical stabilization, typically posterior instrumentation, and, if needed, decompression.