Abstract:[Objective] To explore the curative effects of enhancing implanted head inclination treatment in sagittal view with pedicle screws used for the injured vertebrae under the navigation of Tinavi orthopedic robot, for the treatment of thoracolumbar fracture.[Methods] A retrospective study was from August 2018 to June 2021, there were 60 patients with thoracolumbar fractures without neurological symptoms and mainly collapse of the upper endplate were treated in spine surgery, of which 25 patients accepted the treatment of enhancing implanted head inclination treatment in sagittal view with pedicle screws used for the injured vertebrae under the navigation of Tinavi orthopedic robot (Robot group). The other 35 patients accepted the treatment with posterior percutaneous pedicle screws under the C-arm fluoroscopic guidance during operation ( General group ). Collect and compare the perioperative and follow-up data of the two groups . [Results] The precision rate of screw placement in the Robot group was 98.6%, General group was 88.8% . The degree of recovery of injured vertebra height and Cobb Angle within 3 days and 3 months after operation in Robot group were larger than the General group(P<0.05). The times of operation and bleeding volumes during operation in Robot group were lower than the General group (P<0.05). There is no significance in the differences between the VAS grades within 3 days and 3 months after operation and the average inpatient days (P>0.05). [Conclusion] There is better curative effects can achieve for enhancing implanted head inclination treatment in sagittal view with pedicle screws used for the injured vertebrae under the navigation of Tinavi orthopedic robot is available for the thoracolumbar fracture mainly due to collapse of the upper endplate.