![]() Methods We retro-prospectively reviewed the results of unstable thoracolumbar junction fractures with incomplete or intact neurology in 34 consecutive cases operated with alternate two above and one below fixation approach between June 2018 and June 2019 at our institute. This may provide increased stability along with preservation of the motion segment at the lumbar level. Hence, we proposed to study spinal fixation two levels above and one level below the fracture for stabilization. The thoracolumbar segment is a transition zone where the thoracic spine is a less flexible zone, and the lumbar spine is a more flexible zone. Long segment fixation may need implant removal later to increase mobility in nonfusion surgeries. Posterior approaches can employ short-segment fixation or long-segment fixation techniques. Anterior or posterior approaches both have equal efficacy, but the posterior approach has been preferred in our study due to its ease of application, less extensile nature, and reduced intra-operative bleeding. Introduction The treatment of unstable thoracolumbar burst fractures and fracture dislocations of the thoracolumbar spine remains ever evolving. ![]()
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