Paraspinal-approach indirect reduction and fixation without fusion provides another treatment option for managing TLBF, in which there is an intact posterior longitudinal ligament and injury to the anterior and middle columns or to the anterior, middle and posterior columns (Denis type B).
An increasing number of studies have verified that there is no significant difference in neurological recovery between conservatively- and operatively-treated TLBF with canal compromise (18,19).
Surgical procedures for thoracolumbar burst fractures (TLBFs) are performed through an anterior, posterior, or combined approach.