It usually manifests as the patient experiencing significant lower back pain symptoms, and limited mobility in the lower back area, inhibiting walking. When the fracture is severe, it can cause damage to the patient's spinal nerves or cauda equina nerves, resulting in numbness, weakness, and pain in one or both lower limbs, and even weakness in extending the big toe or the ankle. The patient may feel a sensation of heat in the perineal region, and abnormalities in urination and defecation may occur, which in severe cases can lead to complete paralysis. These are common clinical symptoms of secondary lumbar spine fractures. Usually, a diagnosis can be confirmed with a regular X-ray, a local CT scan, and magnetic resonance imaging.