This study included three methods were used including balloon in ten cases, instrumented assisted endplate reduction in nine cases, stent in one case, restoration was assessed intra-operative by discography under image intensifier and post-operative using x-rays (cobb’s angle, vertebral wedge body angle) and CT scan(anterior and mid-vertebral vertebral body height, endplate configuration, lowest point in any sagittal plan cement appearance and leakage. X-rays and CT scan were used to assess patients radiological before and after the operation. Restoration of end plate integrity in type A thoracic and lumbar spine fractures is an effective method to prevent disc creeping in the broken endplate so preventing collapse after correction of body height and cobb’s angle, however longer term follow up is needed to reassess the morphological changes in the disc following this method comparing it to traditional posterior fixation only, and further study of the chemical changes in disc following endplate fracture.