Thoracolumbar Injury Classification Scale

Aka: Thoracolumbar Injury Classification Scale, Thoracolumbar Injury Classification and Severity Scale, TLIC

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II. Indications

  1. Thoracolumbar Fracture
    1. Evaluation of Fracture stability

III. Criteria

  1. Morphology
    1. Score 0: No abnormality
    2. Score 1: Compression
    3. Score 2: Burst
    4. Score 3: Translation or Rotation
    5. Score 4: Distraction
  2. Discoligamentous Complex
    1. Score 0: Intact
    2. Score 2: Indeterminate
    3. Score 3: Disrupted
  3. Neurologic Status
    1. Score 0: Intact
    2. Score 2: Nerve Root Injury
    3. Score 2: Complete Cord Injury
    4. Score 3: Incomplete Cord Injury
    5. Score 3: Cauda Equina Injury

IV. Interpretation

  1. Add total from each of the three categories
  2. Total score >4 is an indication for surgical management
    1. Fracture realignment and stabilization
    2. Decompression

V. Resources

  1. Subaxial Injury Classification and Severity Scale
    1. https://www.mdcalc.com/calc/10126/thoracolumbar-injury-classification-severity-scale-tlics

VI. References

  1. Lee (2005) J Orthop Sci 10:671-5 [PubMed]

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