Aim: To compare the results of traditional short segment pedicle screw fixation with those of short segment additional injury level fixation in cases of thoraco-lumbar spine fractures. Methods: One hundred patients with thoracolumbar fractures (most often wedge compression and burst fractures) who did not have any neurological abnormalities during a three-year period were included in the prospective research. Short segment injury level pedicle screw fixation (SSIPSF) and CPSF were used to handle 50 patients each, with each group being picked at random. Results: There was minimal age and gender difference. Damage mechanism and skeletal level did not differ statistically. Each group included 15-60-year-olds. The second most common level involved in the SSFIFL group was the L2 skeletal level, with 26 instances (52%). L1 was also linked in 29 CPSF instances (58% of the total). Initial postoperative kyphotic angle and beck index were statistically significant, however final radiography data for both groups was not (p > 0.05). Conclusion: Patients with wedge compression and spine burst fractures benefit from SSIPSF. Open SSIPSF with fracture level inclusion provided greater kyphosis correction, no instrument failures, and a more rigid design than CPSF.