Background– The thoracolumbar spine is vulnerable to fracture during fall from height or road traffic accidents. The fracture of thoracolumbar spine can be associated with neurological deficits, long-term discomfort and disability. The optimal management of these injuries remains a substantial research subject. Aim- To evaluate the efficacy in terms of radiological surgical and neurological recovery after posterior short segment pedicle screw fixation including index vertebra. Methodology– It was prospective observational study of 20 patients conducted from September 2019 to September 2021 on thoracolumbar fractures who underwent pedicle screw fixation at R.D. Gardi Medical College and Hospital of district Madhya Pradesh. Results– All surgical procedure were conducted uneventfully within 100min (60%) with operative blood loss of <150ml (76.7%) and with <5 (60%) days of post-operative hospital stay. The overall associations between pre hip flexion & 1 year hip flexion, pre knee extension & 1 year knee extension, pre ankle dorsi-flexion & 1 year ankle dorsi-flexion, pre ankle planter & 1 year ankle planter, pre EHL& 1 year EHL were showing Chi-square value of 2.719 (p=0.606), 5.969 (p=0.201), 43.308 (p=0.000), 10.337 (p=0.242), 37.447 (p=0.002) respectively. Conclusion – The goals of treatment in thoracolumbar fractures are restoring vertebral column stability and obtaining spinal canal decompression, leading to early mobilization of the patient. Absolute indications of surgery are progressive neurological deficit in order to prevent future deterioration and restore neuro-logical functions as a result of reversible injuries.