Traumatic hemothorax is common after traffic accident. However, the association of massive traumatic hemothorax and thoracic vertebral fracture has been rarely reported. We present the case of a 21 years old female patient who sustained a motor vehicle accident, massive hemothorax and hemorrhagic shock. Emergent thoracotomy revealed no intra-thoracic lesion other than a fractured-dislocated thoracic vertebra. Spinal stabilization was the treatment of choice in this setting. This report raises the index of suspicion for blunt chest trauma complicating such injury.