The use of posterior pedicle screw fixation has increasingly become more prevalent in the treatment of thoracolumbar fractures. The use of pedicle screw plates in the treatment of thoracolumbar fractures was first presented by Roy-Camille et al in 1963. The objective of this study was to evaluate the efficacy, effectiveness, and safety of percutaneous pedicle screw fixation as a treatment option for thoracolumbar fractures, in contrast to the usual open posterior short-segment pedicle screw operation. So, this study was carried out 40 patients presented categorized into; 20 of total patients treated by conventional open posterior and the other was treated by percutaneous fixation at Al-Azhar University hospitals from June 2019 to September 2020. All participants exhibited no neurological deficits and were immobilized at a level one segment above and below the fractured vertebra. The clinical and functional results indicate a preference for or equivalence between percutaneous fixation and traditional surgical interventions. Radiation exposure is the biggest risk, but the new 3D CT screw placement method can cut that risk down a bit. Percutaneous transpedicular spine fixation is a reliable method that works the same way as open treatments. It lets the surgeon fix the spine securely inside while causing as little damage to the surrounding tissues as possible. This approach represents a viable choice for managing unstable thoracolumbar fractures in the absence of neurological impairment. One notable benefit is its ability to minimize surgical duration, eliminate blood loss, and significantly reduce muscular trauma, hence resulting in less postoperative pain compared to conventional open procedures. Additionally, patients using this technique have shorter hospital stays, earlier mobility, quicker reintegration into the workforce, and a lower likelihood of encountering problems.

percutaneous transpedicular thoracolumbar fixation, segment fixation, thoracolumbar fracture