The surgical methods of the treatment for thoracolumbar burst fracture The indications for surgical treatment of the thoracolumbar burst fracture when there is one of the following factors: (1) There are signs of nerve damage; (2) The loss of anterior vertebral body height >50%; (3) The fracture of three column spine; (4) The spinal canal encroachment >50%; (5) Vertebral kyphotic angle >300 or regional kyphotic angle >200.