Severe thoracolumbar spine fractures require surgical repositioning and internal fixation, and with advances in medical science and technology, traditional treatments have fallen behind. Minimally invasive surgery is the direction of today’s medical world. The advantages of minimally invasive surgery of the spine over traditional surgery are that it avoids the stripping of the muscles of the lumbar back, reduces muscle damage, preserves the integrity of the posterior spinal tract, reduces the amount of surgical hemorrhage, alleviates postoperative pain, reduces the rate of infection, shortens the time of recovery and the period of hospitalization, and has an excellent clinical outcome. Patient Tian ××, L2 fracture, minimally invasive internal fixation, down for 2 days after surgery, discharged for 3 days. Lu Qinglin, Department of Orthopedics, Shandong Qianfoshan Hospital, Shandong Province, China