الفهرس 
REVIEW OF LITERATUREOnly 14 pages are availabe for public view
Abstract
Thoracolumbar spine fractures are common injuries that can result in significant disability, deformity and neurological deficit.
Controversies exist regarding the appropriate radiological investigations, the indications for surgical management and the timing, approach and type of surgery.
Operative methods have been proved to provide satisfactory outcomes with improved surgical techniques and implants. Surgical treatment provides immediate spinal stability and more reliably restores sagittal alignment, vertebral height, and canal dimension.
Among operative options, posterior short-segment pedicle instrumentation is most widely used for thoracolumbar fractures around the world because of its 3-column fixation.
However, open posterior approach with short-segment pedicle instrumentation involves conventional extensive exposures that can be associated with significant morbidity with high intraoperative blood loss, increased infection rates, and Para spinal muscle denervation or injury.
Minimally invasive surgery with percutaneous pedicle screw fixation (PPSF) has become increasingly popular in spine surgery.
Percutaneous fixation group has achieved the similar effect of Open Surgery group and it can minimize the approach-related complication.
It also faced with some difficulties, such as larger radiation dose for the beginner surgeons and longer learning curve.