Thoracolumbar injury classification and severity score

• Validity of a new scoring system for assessment and decision guidance of misplaced pedicular screws
• Outcome characteristics of surgical management of single-level junctional thoracolumbar fractures by short segment posterior transpedicular fixation in selected patients
• Clinical Efficacy of Posterior and Combined Posterior-Anterior Surgical Approaches for Intractable Tuberculous Thoracolumbar Kyphosis: A Retrospective Analysis
• Single-Stage Posterior Unilateral Transpedicular Corpectomy With Circumferential Reconstructive Stabilization for the Treatment of Severe Thoracic and Lumbar Complete Burst Fractures
• Association between final local kyphosis angle and residual back pain in traumatic vertebral fractures at the thoracolumbar junction with posterior stabilization using percutaneous pedicle screws
• Functional and Radiological Outcomes of Short-Segment Fixation With Intermediate Screws for Thoracolumbar Spine Fractures
• Comparing Management Strategies for Thoracolumbar Injury Classification and Severity Score of 4 (TLICS = 4) in the Pediatric Population: A Single-Institutional Experience
• The neurologically intact patient with TLICS 4 or 5 burst fracture should be given a trial of nonoperative management

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.

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.

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

see Thoracolumbar spine fracture surgery indications.