Abstract: Objective: A review of 8 years of thoracolumbar trauma emergency admissions data,to find out the reasonable application of radiographic inspection method and to provide reduced spine burst fracture missed diagnosis experience.Method: From 2006 to 2013, a total of 1311 cases of thoracolumbar trauma admissions,average age is 38.5 years old. There are no signs and symptoms were grouped according to statistical neural injury. Where no nerve syndrome group 954 cases,with 357 cases of neurosis in syndrome group. Examination of thoracic and lumbar imaging:X-ray front and side checking (CR),CT across scan and 3D imaging,a small part of the MRI examination.Result: Of the 1311 patients,the total diagnostic rate of 24.87%.No neurologic syndrome group 954 cases diagnosis rate was 12.37%,the missed diagnosis rate is 9.32%.There are 357 cases of neurosis in patients,the diagnosis rate of 58.26%,missed diagnosis rate is 0.As a pure CR Examination Statistics:no nerve syndrome group diagnosed 118 cases of burst fracture,the detection rate of 7.63%;nerve syndrome group diagnosed 208 cases of burst fracture,the detection rate of 9.62%.The two group of CR with the use of CT imaging detection rate of burst fractures (86.44% and 90.38%) compared to a very significant difference (χ²=171.34 and χ²=323.56,P<0.01).Conclusion: The application of CR examination in the diagnosis of spinal burst fracture has the certain difficulty,there are very few definite diagnostic value.CT examination is simple and fast,it has obvious advantage in understanding the direction of fracture line,fracture displacement,fracture of vertebral arch,the degree of stenosis of spinal canal morphology and other aspects,should be used as diagnosis of spinal burst fracture of choice.