Our study protocol was registered to institutional review board (IRB) in Zagazig University and approved at April 2023. we searched for eligible studies from 2002 to 2022 concerning the percutaneous pedicle screw fixation compared to traditional open pedicle screw fixation. systemic review was conducted to compare the percutaneous pedicle screw with traditional open pedicle screw in fixation of thoracolumbar fracture type A and meta-analysis was done according to the availability of randomized controlled trials using Review Manager software (RevMan version 5.4.1).