Lorente R, et al. - In this prospective study of 2 cohorts between 2010 and 2015, authors investigated the data to delineate the clinical and radiologic consequences of unstable thoracolumbar and lumbar fractures managed by open posterior fixation (OPF) with bone graft or by percutaneous fixation (PCF) without grafting. A higher percentage of correction was noticed in cases operated by OPF: fracture angle, kyphotic deformity, vertebral compression, and displacement. They recorded elevated loss of correction at 2-year follow-up in cases operated by PCF, particularly in fracture displacement, deformity angle, kyphotic deformity, and in the sagittal index. They found an inclined percentage of subjects retorting to the same heavy work position in the PCF group and in a shorter period of time too.