![]() Therapeutic decision making in thoracolumbar spine trauma. Traumatic kyphosis of the thoracolumbar spine. Form and function of the erect human spine. Lumbar intervertebral instability: a review. Leone A, Guglielmi G, Cassar-Pullicino VN, Bonomo L. Philadelphia, Pa : Lippincott Williams & Wilkins, 2001 256 – 285. Basic biomechanics of the musculoskeletal system. A concept for the validation of fracture classifications. Audigé L, Bhandari M, Hanson B, Kellam J. Garbuz DS, Masri BA, Esdaile J, Duncan CP. A new classification of thoracolumbar injuries: the importance of injury morphology, the integrity of the posterior ligamentous complex, and neurologic status. Vaccaro AR, Lehman RA Jr, Hurlbert RJ, et al. A comprehensive classification of thoracic and lumbar injuries. ![]() Magerl F, Aebi M, Gertzbein SD, Harms J, Nazarian S. Classification of thoracic and lumbar spine fractures: problems of reproducibility-a study of 53 patients using CT and MRI. Oner FC, Ramos LM, Simmermacher RK, et al. Evaluation of the thoracolumbar injury classification system in thoracic and lumbar spinal trauma. Joaquim AF, Fernandes YB, Cavalcante RA, Fragoso RM, Honorato DC, Patel AA. The three column spine and its significance in the classification of acute thoracolumbar spinal injuries. Validating a newly proposed classification system for thoracolumbar spine trauma: looking to the future of the thoracolumbar injury classification and severity score. The value of computed tomography in thoracolumbar fractures: an analysis of one hundred consecutive cases and a new classification. McAfee PC, Yuan HA, Fredrickson BE, Lubicky JP. A mechanistic classification of thoracolumbar spine fractures. The evolution of thoracolumbar injury classification systems. Sethi MK, Schoenfeld AJ, Bono CM, Harris MB. A review of the TLICS system: a novel, user-friendly thoracolumbar trauma classification system. This article was corrected on April 30, 2020. ![]() The complete article is available online.Īn earlier incorrect version of this article appeared online and in print. Familiarity with the TLICS will help radiologists who interpret spine trauma imaging studies to effectively communicate findings to spine trauma surgeons. Signs of PLC injury at computed tomography include interspinous distance widening, facet joint widening, spinous process fracture, and vertebral subluxation or dislocation. Knowledge of PLC anatomy and its significance is essential in recognizing unstable injuries. The TLICS also emphasizes the importance of magnetic resonance imaging in evaluating PLC injury and acknowledges that the primary driver of surgical intervention is the patient’s neurologic status. The total score helps guide decision making about surgical versus nonsurgical management. A numerical score is calculated for each category, with a lower point value assigned to a less severe or less urgent injury and a higher point value assigned to a more severe injury requiring urgent management. The TLICS provides a spine injury severity score based on three components: injury morphology, integrity of the posterior ligamentous complex (PLC), and neurologic status of the patient. The Thoracolumbar Injury Classification and Severity Score (TLICS) is a scoring and classification system developed by the Spine Trauma Study Group in response to the recognition that previous classification systems have limited prognostic value and generally do not suggest treatment pathways.
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