Thoracolumbar fractures are common fractures occurring at the fulcrum of motion between the relatively fixed thoracic spine and the mobile lumbar spine with bony retropulsion into the spinal canal resulting in neurologic insult. Ligamentotaxis relieves the cord and improves neurologic outcome by reducing the retropulsed segments into place, through using traction by the fixation devices; and countertraction provided by the intact soft tissue sleeve across the fracture site to realign these fragments and clear the spinal canal.