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Background: Thoracolumbar burst fractures are the most prevalent spinal injury. Nevertheless, the treatment of unstable burst fractures of thoracolumbar remains a topic of controversy, particularly for cases who do not have a neurologic deficit. Objective: This study aimed to estimate the effectiveness of percutaneous fixation in thoracolumbar fractures. Patients and methods thirty-six adult cases have been included in this investigation from January 2018 to December 2021. There were thirty-one males and five females. The age of admission varied from nineteen to fifty-eight years. Results: All cases have been successfully treated with percutaneous minimal invasive techniques. The amount of blood that was lost during the operation ranged from fifty to one hundred fifty milliliters. The duration of the cases' stays in the hospital varied anywhere from three to nine days. All cases have been monitored for a duration of time that spanned from twelve to thirty months. The average kyphotic angle before operation was 6.8 to 33.5 degrees, and it was promptly enhanced following the operation, resulting in an average correction of deformity of 9.1 degrees. The kyphotic angle was 7.6 degrees at the final follow-up, with a range from 5.9 to 17.1 degrees. The average percentage of height of the vertebral body loss before operation was 42.2% (ranging from thirty-four to sixty-three percent), and it was promptly decreased to 8.3% (ranged from zero to 23.5 percent) following the operation. 10.2% was the percentage of loss of vertebral body height (VBH) that has been seen at the last monitoring, with the range being from zero percent to thirtytwo percent. Conclusion: For management of thoracolumbar, AO type, A3 fractures with a load-sharing score of six or lower, percutaneous fixation may serve as an alternative procedure. [ABSTRACT FROM AUTHOR]

Background: The 1ry event that begins and propels the procedure of spinal degeneration is generalized or segmental spinal instability. The 2ry spinal events to 1ry spinal instability have been determined as all identified consequences of spinal degeneration, including ligamentum flavum collapse, disc space reduction and osteophyte formation. Aim: To assess the effect of tranfacetal fixation of lumbar spine in degenerative spine disease. Patients and Methods: Fourteen cases with spinal segmental vertical instability associated with lumbar canal stenosis have been managed at Helmeya Military Hospital through the transfacetal implantation of screws into each articular assembly. Results: Throughout the follow-up period, all cases who were treated reported a high degree of satisfaction with the relief of their symptoms, and their spinal levels demonstrated robust bone stabilization. There were no complications associated with the insertion of the screws. Screw misplacement or implant rejection were not observed. Conclusions: The spinal segment can be securely fixed and stabilized by inserting screws into the firm and predominantly facets cortical bones of the spine. [ABSTRACT FROM AUTHOR]