*4.1. Principal Findings*

This systematic review showed that dozens of studies focused on the benefits and risks of implant removal after fixation of thoracolumbar burst fractures, and local kyphosis deformity was the most prevalent and most important sequelae after implant removal. However, some studies further confirmed reduced pain intensity and improved segmental

motion angle after implant removal. In addition, implant removal-associated complications were not uncommon.
