Thoracolumbar injury classification and severity score [Neurosurgery Wiki]

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====== Thoracolumbar injury classification and severity score ====== 

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https://www.mdcalc.com/calc/10126/thoracolumbar-injury-classification-severity-scale-tlics


The [[thoracolumbar injury]] classification and severity score ([[TLICS]]) has been developed to overcome some of the perceived difficulties regarding the use of other [[thoracolumbar spine fracture classification]] systems for determining [[Thoracolumbar spine fracture treatment]].

===== Classification =====

The classification score is based on three major categories, known as parameters:

**Injury morphology**

posterior ligamentous complex integrity

**Patient neurology**

Points are assigned to parameters in each of the major categories.

===Parameters===

**Morphology**    

[[Thoracolumbar compression fracture]] - 1 point 

[[Thoracolumbar burst fracture]] - 2 points

[[Translation-rotation spine injury]] - 3 points

distraction injury - 4 points

**Posterior ligamentous complex**

intact - 0 points

suspected injury or indeterminate - 2 points

injured - 3 points

**Neurologic involvement**

intact - 0 points

nerve root - 2 points

cord/conus medullaris (incomplete) - 3 points

cord/conus medullaris (complete) - 2 points

[[cauda equina syndrome]]- 3 points

===== Treatment and prognosis =====

see [[Thoracolumbar spine fracture surgery indications]].