Objective:To evaluate the dignostic value of CT and MRI in diagnosis and directing management of vertebral burst fractures. Methods: The imaging features of 66 cases of vertebral burst fracture were retrospectively analyzed, including cervical vertebrae in 6, thoracic vertebrae in 3, thoracolumbar area in 48 and lumbar vertebrae in 9 cases; 50 male and 16 female; with an average age of 35 years. CT and MRI were done in all patients. Results: CT clearly demonstrated the fracture of the vertebrae and appendix, spinal canal stenosis and retropulsed fragments. MRI showed the injury and tear of ligament and intervertebral disc,abnormal signals and spinal cord compression. Conclusion: CT and MRI can make precise diagnosis of burst fractures. Combining CT with MRI can reveal the injury status of burst fractures and help the surgeon to select a proper surgical technique.