PMID: 20118323Feb 2, 2010Paper

Thoracolumbar spine trauma classification

The Journal of the American Academy of Orthopaedic Surgeons
Alpesh Patel, Alexander R Vaccaro

Abstract

Thoracolumbar spine trauma is among the most common musculoskeletal injuries worldwide. However, there is little consensus on the adequate management of spine injury, in part because there is no widely accepted classification system. Several systems have been developed based on injury anatomy or inferred mechanisms of action, but they have demonstrated poor reliability, have yielded little prognostic information, and have not been widely used. The Thoracolumbar Injury Classification and Severity Score (TLICS) was developed to address these limitations. The TLICS defines injury based on three clinical characteristics: injury morphology, integrity of the posterior ligamentous complex, and neurologic status of the patient. The severity score offers prognostic information and is helpful in medical decision making. Initial application of the TLICS has shown good to excellent reliability and validity. Additional evaluation of the TLICS is needed to prospectively define its clinical utility and identify potential limitations.

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Citations

Mar 16, 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·Kirkham B Wood
Aug 27, 2015·Der Chirurg; Zeitschrift für alle Gebiete der operativen Medizen·O GonschorekV Bühren
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Dec 17, 2019·Acta Radiologica·Julius Matthias WeinrichAzien Laqmani
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
Feb 8, 2020·Journal of Pediatric Orthopedics·Andrew Z MoDaniel J Hedequist
Apr 30, 2020·Clinical Spine Surgery : a Spine Publication·Thomas J LeeAlexander R Vaccaro
Nov 8, 2018·Advances in Orthopedics·Jackson Rucker StaggersSteven Michael Theiss
Feb 16, 2013·European Journal of Orthopaedic Surgery & Traumatology : Orthopédie Traumatologie·Iulian PopaDiana Andrei
Nov 2, 2017·Neurosurgical Focus·John K YueSanjay S Dhall
Feb 9, 2018·Clinical Orthopaedics and Related Research·José H Jiménez-AlmonteArun Aneja
May 14, 2019·OTA International : the Open Access Journal of Orthopaedic Trauma·Andrew Z MoDaniel J Hedequist

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