HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Full Text Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Download to citation manager Google Scholar Articles by Patel, A. A. Articles by Vaccaro, A. R. PubMed PubMed Citation Articles by Patel, A. A. Articles by Vaccaro, A. R.

Thoracolumbar Spine Trauma Classification

From the Department of Orthopaedics, University of Utah School of Medicine, Salt Lake City, UT (Dr. Patel), and the Department of Orthopaedic Surgery, Thomas Jefferson University, Philadelphia, PA (Dr. Vaccaro).

Dr. Patel or an immediate family member has received royalties from Amedica; is a member of a speakers’ bureau or has made paid presentations on behalf of Stryker Spine, Amedica, and Medtronic; serves as a paid consultant to or is an employee of Amedica; and has received research or institutional support from DePuy Spine. Dr. Vaccaro or an immediate family member serves as a board member, owner, officer, or committee member of the American Spinal Injury Association, the North American Spine Society, AO North America, Computational Biodynamics, and Progressive Spinal Technology/Advanced Spinal Intellectual Properties; has received royalties from Aesculap/B.Braun, Biomet, DePuy, Globus Medical, Lippincott, Elsevier, Medtronic Sofamor Danek, Stryker, Thieme, K2 Spine, Stout Medical, and Progressive Spinal Technology/Applied Spinal Intellectual Properties; is a member of a speakers’ bureau or has made paid presentations on behalf of Stryker, Medtronic Sofamor Danek, and DePuy Spine; serves as a paid consultant to or is an employee of Biomet, DePuy, Medtronic Sofamor Danek, Stryker, Vertiflex, and Osteotech; has received research or institutional support from AO North America, DePuy, Medtronic Sofamor Danek, and Stryker; and has stock or stock options held in Globus Medical, Disc Motion Technology, Vertebron, Progressive Spinal Technologies/Advanced Spinal Intellectual Properties, Computational Biodynamics, Stout Medical, Paradigm Spine, K2 Medical, Replication Medica, Spinology, Spine Medica, Orthovita, Vertiflex, Small Bone Technologies, NeuCore, Crosscurrent, Syndicom, In Vivo, Flagship Surgical, and Pearl Driver.

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.