Thoracolumbar Injury Classification and Injury Severity Score System: A Literature Review of Its Safety

Global Spine Journal
Andrei F JoaquimAlpesh A Patel

Abstract

Study Design Systematic literature review. Objective The Thoracolumbar Injury Classification and Severity Score System (TLICS) is widely used to help guide the treatment of thoracolumbar spine trauma. The purpose of this study is to evaluate the safety of the TLICS in clinical practice. Methods Using the Medline database without time restriction, we performed a systematic review using the keyword "Thoracolumbar Injury Classification," searching for articles utilizing the TLICS. We classified the results according to their level of evidence and main conclusions. Results Nine articles met our inclusion and exclusion criteria. One article evaluated the safety of the TLICS based on its clinical application (level II). The eight remaining articles were based on retrospective application of the score, comparing the proposed treatment suggested by the TLICS with the treatment patients actually received (level III). The TLICS was safe in surgical and nonsurgical treatment with regards to neurologic status. Some studies reported that the retrospective application of the TLICS had inconsistencies with the treatment of burst fractures without neurologic deficits. Conclusions This literature review suggested that the TLICS use was safe esp...Continue Reading

References

May 14, 2010·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Joost J van MiddendorpAllard J F Hosman
Oct 1, 2007·Indian Journal of Orthopaedics·Alpesh A PatelAlexander R Vaccaro
Dec 18, 2010·Asian Spine Journal·Young Do KohYoung Won Koh
Jul 23, 2011·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Javier PizonesErnesto Castillo
Oct 12, 2012·Journal of Orthopaedic Science : Official Journal of the Japanese Orthopaedic Association·Masaaki MachinoFumihiko Kato
Dec 5, 2012·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Joost J van MiddendorpAndrei F Joaquim
Apr 23, 2013·The Spine Journal : Official Journal of the North American Spine Society·Andrei F JoaquimAlpesh A Patel
Jan 2, 2014·Journal of Craniovertebral Junction and Spine·Andrei F Joaquim, Alpesh A Patel

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Citations

Jun 24, 2016·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Rahul KaulNishit Patel
Nov 2, 2017·Neurosurgical Focus·John K YueSanjay S Dhall
Mar 27, 2018·Clinical Spine Surgery : a Spine Publication·Brett D RosenthalJason W Savage
Feb 8, 2018·The Journal of Spinal Cord Medicine·Andrei F JoaquimAlexander R Vaccaro
Jan 22, 2021·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Corentin DauleacFederico Di Rocco
Nov 13, 2020·Scientific Reports·Chan-Jin ParkEric T Park

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