Introduction: Spinal traumas are common and leading problem in orthopaedics practice. The individuals are at a risk of high energy trauma in modern era. Unstable thoraco-lumbar burst fractures are serious injuries of concern, if left untreated may result in marked morbidity and disability to the patient. Thoracolumbar is the second most common segment involved in the vertebral column following cervical segment in patients with spinal injuries. Historically, the thoracolumbar fractures were treated by recumbency (bed rest for a period of 8-12 weeks). In a resource scarce country like India, the care is often neglected to the victims. So, it is the need of the hour to explore possibility of surgical stabilization, early mobilization and rehabilitation of patients. In this study, we stabilized the patients with unstable thoracolumbar burst fractures with short segment posterior instrumentation with transpedicular screws. Aim: To study efficacy of short segment posterior instrumentation in achieving stabilization of thoracic and lumbar fractures of spine. Materials and Methods: This was a prospective interventional study undertaken in the Department of Orthopedics, New Civil Hospital, Ahmedabad. 32 Adult patients with acute thoracolumbar injury admitted to Civil Hospital, AHMEDABAD were included in this study after obtaining their valid, written informed consent. Plain x-rays in anterio-posterior and lateral views were obtained and the instability of spine was confirmed using Thoraco-Lumbar Injury Classification and Severity Score. All patients underwent short segment posterior Fixation and were followed up in OPD every 4 th week after surgery till 6 months and for each follow up, neurological, radiological and clinical examinations were done to assess the spinal stability. Results and Discussion: All fractures were classified as Type C fractures according to the AO classification system. Intermediate screw was inserted in 21 patients out of 32. This study showed that fracture level screw fixation technique could achieve and maintain correction, regional angle and vertebral height. We have used the intermediate screw option in the fractured vertebra level as a method of augmentation in the current study. The results were comparable to other studies in the past. Conclusion:The findings of these study show that short segment posterior instrumentation is an excellent implant system used in the treatment of vertebral fractures. There is a very high statistically significant restoration of vertebral body height, mean regional angle and mean anterior wedge angle.

Introduction: Fractures of the distal radius continue to be one of the most common skeletal injuries. The methods which are commonly practiced are closed manipulation and plaster cast, pins and plaster, percutaneous pinning, external fixation and open reduction and internal fixation with or without bone graft. Surgeons are increasingly faced with the dilemma of when to consider operative management and when cast immobilization is the optimal treatment. Aim: To compare the results of external and internal fixation methods for the treatment of fractures of distal end of radius. Materials and Methods: 47 cases of distal end radius fractures were operated in the orthopedic department of a tertiary care centre. The purpose of the present study was to compare the results of external and internal fixation methods for the treatment of fractures of distal end of radius. Patients operated by external fixation were classified as Group A and those operated by internal fixation were classified as group B. Patients were classified according to AO Classification. Patients were followed at regular intervals depending on the case and time of operation and evaluated by Gartland and Werley score. Results and Discussion: In our study, 29 patients were of extraarticular type, of which 86.20% had an excellent score and 18 patients were of intraarticular type, of which 83.33% had an excellent score. But when compared to groups A and B, the percentage of excellent score obtained in group B was more than that in group A in both extraarticular and intraarticular fractures. Yuan-kun et al did a study on intraarticular distal end radius fractures and evaluated the patients by Gartland and Werley point system, concluding that plating gives better results than external fixation supplemented by K wiring. Conclusion:We concluded that no method of fixation, can be said superior to the other. Each method has fracture-specific indication. The results of open reduction and internal fixation can be better than external fixation in initial months, but in the long run, both the methods can have excellent score, provided the fixation is good and properly indicated.