Burst fractures are relatively common injuries in the thoracolumbar spine. However, treatment of
AO type (A3) unstable thoracolumbar fractures is still controversial, especially for patients with no
neurological deficits. to evaluate the efficacy and safety of percutaneous pedicle fixation using a
minimally invasive technique for AO type (A.3) thoracolumbar fractures. This study was done on ten
patients complaining of thoracolumbar spine fractures grade A3 at ages ranged from twenty to sixtyfive
years old. Those patients were treated bypercutaneuos fixation. The results of the surgical procedure
were collected immediately after surgery, and then during, and after the follow up period. All the
results was statistically analyzed to get positive data and correlation between them, complications was
discussed whether after surgery or at the follow up period. The percutaneous pedicle fixation technique
presents radiological, clinical, and functional results that are significantly better than the published
results with conservative treatment. This intervention, assisted by fluoroscopy, proved to be a
technique with a high accuracy and reliability, with results similar to those reported in studies with the
classical transpedicular fixation regarding the deformity correction, but superior with regard to blood
loss, postoperative rehabilitation, and return to the activities of daily living. The results of this study
show that this is a valid, safe, and effective treatment for (A3) thoracolumbar burst fractures without
neurological deficits.