- Most acute thoracolumbar spinal fractures are located at the thoracolumbar junction (T10-L2).
- Plain radiographs in combination with computed tomography allow proper classification in the majority of fractures
- Denis three column system
- Conservative management in patients with intact neurological status and mechanically stable fracture
- Unstable injuries with failure of all elements leading to dislocation, translation, or displacement in any plane, disruption of PLC are indications for operative management
- Posterior side: better fracture reduction, canal decompression, and less blood loss compared to the anterior approach
- Fusion May Not Be a Necessary Procedure for Surgically Treated Burst Fractures of the Thoracolumbar and Lumbar Spines
- Complications : Neurological deficit, Entrapped nerve roots and Dural tear, flat back
