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To evaluate the use of pedicle screw fixation in earthquake injured thoracolumbar spine. Nineteen patients with posttraumatic instability of lower thoracic or upper lumbar spine were included in the study. White and Panjabi criteria was used to assess spinal instability. All patients underwent open reduction and internal fixation by posterior approach. Pedicles were localized using detailed anatomical landmarks and intraoperative imaging. Local bone was used as bone graft. The neurologicalpmid:18693586 fatcat:fopfkib7ujautb2ctyc5f37uwa