The absolute indications for surgery for thoracolumbar burst fractures can be broadly summarized through this literature as follows: progressive neurological dysfunction with nerve tissue compression (neurological instability); fracture dislocation or lateral instability, progressive symptomatic kyphotic deformity. (mechanical instability) 2. TLICS staging is very important and is currently the most widely accepted staging in the spine surgery community. 4 or more points are indicated for surgery. 3. The use of 50% canal occupancy, 50% loss of vertebral body height, and 30 degrees of kyphosis as indications for surgery is not well founded. In cases not associated with posterior collateral ligament complex and nerve injury, spinal canal occupancy, vertebral body height, and kyphosis are not predictors of outcome and should not be used as indications for surgical intervention. 4. Non-surgical treatment does not correlate posterior convexity with clinical outcome, despite the greater risk of developing posterior convexity deformity. In burst fractures without neurological symptoms, there is no significant difference between surgical and non-surgical clinical outcomes including pain, function, quality of life, return to work, etc. 5, patients with neurological symptoms sexual non-operative treatment, neurological function also have a certain degree of recovery, surgical treatment is not very clear advantages. However, surgery has advantages for cases of progressive nerve injury. 6, combined spinal cord and cauda equina syndrome and the presence of bone mass compression, regardless of the presence of progressive neurological symptoms, should be decompressed within 48 hours. 7, The integrity of the posterior collateral ligamentous syndesmosis and the functional status of the nerve are the primary considerations for surgical treatment of thoracolumbar burst fractures.