Piccone L, Cipolloni V, Nasto LA, et al. - In this study performed on 10 consecutive patients affected by thoracolumbar burst fractures related to incomplete neurological deficits managed at experts' institution from January 2015 to February 2017, the goal was to evaluate if posterior approach alone can afford a valid surgical treatment for patient under the age of 40 suffering from thoracolumbar burst fractures and incomplete neurological deficits. Participants were observed for at least 2 years after surgery. Return to a normal neurological status postoperatively was noted in 9 out of 10 patients, while 1 patient experienced some improvement but did not recover fully. Improvement in segmental kyphotic deformity, from a mean of 21.8° prior to surgery to 14.8° at the time of the last follow-up, was observed. In this patient population under the age of 40, a single posterior surgical approach was proved acceptable taking into account the observed clinical, radiological and functional results at 2 years follow-up.