Fractures of the lower thoracic and lumbar vertebrae represent one of the most common and clinically significant spinal injuries. These fractures are frequently associated with high-energy trauma and can lead to severe neurological deficits, spinal instability, and chronic pain if not treated adequately. Transpedicular osteosynthesis has emerged as an effective surgical technique for achieving stabilization, deformity correction, and improved functional outcomes. This article reviews current approaches to surgical management and highlights advancements aimed at improving treatment outcomes in patients with lower thoracic and lumbar spine fractures.

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