Thoracolumbar Injury Classification and Severity Scale (TLICS)

The TLICS score is used to assess injuries of the thoracolumbar spine1:

Injury morphology Points
Compression 1
Burst 2
Translation/Rotation 3
Distraction 4
Integrity of the posterior ligamentous complex Points
Intact 0
Indeterminate 2
Injured 3
Neurological status Points
Intact 0
Nerve root injury 2
Complete spinal cord injury 2
Incomplete spinal cord injury 3
Cauda equina 3

The TLICS score calculated from these points can be interpreted as follows2:

Points Interpretation
1-3 Conservative treatment
4 Undefined
> 4 Surgical treatment should be considered

References


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    • Text changed: “| Injury morphology | Points | | ---------------------- | ------ | | Compression | 1 | | Burst | 2 | | Translation\/Rotation | 3 | | [Distraction](\/lexikon\/distraktionsfraktur) | 4 | | **Integrity of the posterior ligamentous complex** | **Points** | | Intact | 0 | | Suspected | 2 | | Injured | 3 | | **Neurological status** | **Points** | | Intact | 0 | | Nerve root injury | 2 | | Complete spinal cord injury | 2 | | Incomplete spinal cord injury | 3 | | Cauda equina | 3 |”“| Injury morphology | Points | | ---------------------- | ------ | | Compression | 1 | | Burst | 2 | | Translation\/Rotation | 3 | | [Distraction](\/lexikon\/distraktionsfraktur) | 4 | | **Integrity of the posterior ligamentous complex** | **Points** | | Intact | 0 | | Indeterminate | 2 | | Injured | 3 | | **Neurological status** | **Points** | | Intact | 0 | | Nerve root injury | 2 | | Complete spinal cord injury | 2 | | Incomplete spinal cord injury | 3 | | Cauda equina | 3 |”
    • Text changed: “| Points | Interpretation | | ------- | ------------ | | 1-3 | Conservative treatment | | 4 | Indeterminate | | > 4 | Surgical treatment should be considered |”“| Points | Interpretation | | ------- | ------------ | | 1-3 | Conservative treatment | | 4 | Undefined | | > 4 | Surgical treatment should be considered |”
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