Posterior pedicle fixation-based dynamic stabilization is now densely studied in the non-fusion spine surgery.The method is characterized by the motion preservation of segmental lumbar, avoidance of the stress change after fusion surgery, and adjacent disc degeneration.Posterior pedicle fixation-based dynamic stabilization systems have undergone fast development and are now used for the treatment of degenerative lumbar spine disease.As an innovation of traditional fusion surgery, the clinical evaluation of its efficacy has become a focus of study among spine surgeons.In this paper, we review the recent progress in the clinical efficacy of posterior pedicle fixation-based dynamic stabilization.