Background: The treatment of individuals with spinal cord injuries is still debatable despite recent advancements in our knowledge of spinal mechanics, injury processes, better imaging methods, improved instruments, and enhanced rehabilitative care. In this work, we attempt to examine the neurological consequences of incomplete spinal cord injuries (SCI) to the dorsolumbar spine, which are managed at our center using posterior fixation and decompression. Methods: Our study comprised 40 patients who underwent surgery in our center between October 2021 and November 2023 who had incomplete SCI as a result of dorsolumbar fractures. The American Spinal Injury Association (ASIA) Impairment Scale was used to evaluate the neurological status of these cases both before and after surgery, as well as at follow-ups after one, two, three, and six months. Results: The patients in our study had a mean age of 33.7 years, with the majority falling into the young working age range of 26-40 years. There were 16 females and 24 males present. The most frequent cause of SCI was discovered to be falls from a height. In their Asia Impairment Scale, 24 instances out of 40 demonstrated improvement of one or more grades. Conclusion: In situations of incomplete SCI, early mobilization and rehabilitation are achieved through the use of surgical fixation for dorsolumbar fractures. According to our research, these patients' neurological state gets better following surgical fixation