| Outbound Relationships | Type | Target | Active | Characteristic | Refinability | Group | Values | 
| Open fracture thoracic vertebra, spinous process | Is a | Open fracture of bones of trunk | false | Inferred relationship | Existential restriction modifier |  |  | 
| Open fracture thoracic vertebra, spinous process | Is a | Open fracture of vertebral column | false | Inferred relationship | Existential restriction modifier |  |  | 
| Open fracture thoracic vertebra, spinous process | Is a | Fracture of spinous process of thoracic vertebra | true | Inferred relationship | Existential restriction modifier |  |  | 
| Open fracture thoracic vertebra, spinous process | Associated morphology | Fracture, open | false | Inferred relationship | Existential restriction modifier | 1 |  | 
| Open fracture thoracic vertebra, spinous process | Finding site | Structure of spinous process of thoracic vertebra | false | Inferred relationship | Existential restriction modifier | 1 |  | 
| Open fracture thoracic vertebra, spinous process | Is a | Open fracture of bones of trunk | false | Inferred relationship | Existential restriction modifier |  |  | 
| Open fracture thoracic vertebra, spinous process | Is a | Open wound of back | false | Inferred relationship | Existential restriction modifier |  |  | 
| Open fracture thoracic vertebra, spinous process | Is a | Open fracture thoracic vertebra | true | Inferred relationship | Existential restriction modifier |  |  | 
| Open fracture thoracic vertebra, spinous process | Finding site | Structure of spinous process of thoracic vertebra | true | Inferred relationship | Existential restriction modifier | 1 |  | 
| Open fracture thoracic vertebra, spinous process | Associated morphology | Fracture, open | true | Inferred relationship | Existential restriction modifier | 1 |  | 
| Open fracture thoracic vertebra, spinous process | Due to | Traumatic event | true | Inferred relationship | Existential restriction modifier | 2 |  |