Objective: To summarize the experiences of AF internal fixation and to analyze the reasons of complications.Method: Twenty-six patients of thoracolumar fracture were treated with AF internal fixation systerm,all patients were followed-up for 6-18 months.Result: Five patients with screw loosen,two with screw broken, one with broken bolt,three with unexplained lumbaro and seven with nuts loosen.Conclusion: Strictly checking indication,completely bone grafting,standardized operation,avoiding early moving/action and removing internal fixation in time are very important factors for treating thoracolumbar fracture with AF internal fixation.