A case of two non-contiguous burst fractures of the thoracolumbar spine is presented. The patient was a 54-year-old female, who had a traffic accident, fell off the bus and landed on her back. She had been suffering from severe pain in her back and paresis of the lower extremities. X-ray showed burst fractures of both Th12 and L3. CT scan and MRI showed severer anterior compression of the spinal cord at L3. We performed anterior decompression and stabilization for L3 and conservative treatment for T12. Postoperatively she was free from backache but scoliosis developed gradually. We will discuss the treatment for this case with non-contiguous burst fractures.