Abstract
A total of 33 non–neurological symptoms patients with thoracolumbar fractures underwent unilateral pedicle screw fixation plus short segment pedicle screw through para–vertebral muscles. Preoperative computed tomography (CT) scan showed one side pedicle was complete. The average follow–up period was 22 (12–40) months. There was no internal fixation failure. The posterior paraspinal approach for unstable thoracolumbar fractures, retaining posterior ligament complex and fixation by unilateral pedicle screw fixation through the pedicle of fractured vertebra, is both safe and effective for thoracolumbar fractures. Key words: Surgical procedures, operative; Spinal fractures
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