Thoracolumbar fractures are one of the commonest spine fracture seen in our daily orthopaedic practice. Motor vehicular accident, industrial accident and fall from height had been the common causes. The main aim of the treatment of this fracture is to get the patient back to his previous functional status. However return to previous work of these patients relieves financial burden to the patient, his or her family and government. Only a few studies have been published with variable results. Huler1 had studied thoracolumbar fracture patients with no neurological deficit and found 82% of the previously working patients actually went back to a gainful employment. In another study, Knop C et al. 2 noticed only 50% of the thoracolumbar fracture patients were back to physical work and 50% of the patients were back participating in sports. Leferink VJ et al. 3 studied this group of patients with no neurological deficit and 87% of his patients went back to work. 50% of those went back to work has to modify their work. The important factor that decides whether the patient goes back to work is the neurological deficit. Pain limits the patient’s ability to do his previous job without job modification 4. Burnham Robert S5 identified that high level spinal injuries more likely associated with neurological injuries and polytrauma, therefore these patients are less likely to return to work. However he also found that back pain is the main cause preventing low level spine injury patients to return to work. Employment rates after thoracolumbar fracture with intact neurological status range from 82% to 96% during follow up times ranging from 2 to 20 years after the injury 1, 6. High level spinal injuries have been associated with unemployment as seen by Castle R in his study7. Knight et al suggests return to work is delayed by operative treatment compare to nonoperative treatment among the lumbar burst fracture 8.