General risks, local and adverse effects - risks will be defined as any incident, change in treatment or normal progress regardless of whether or not it is associated with the treatment being evaluated. The predicted risks related to thoracolumbar spine fractures and their surgical treatment are superficial infection, deep infection, epidural hematoma, duramater injury, inadequate position of pedicle screws, radiculopathy, fractured vertebral segment kyphosis, instability, pain uncontrollable to treatment , Failure of implants, degeneration of adjacent segments, pressure ulcers and reoperation.