fracturesQ: In Thoracolumbar Injury Classification and Severity Score (TLICS), which of the spine injury morphology has the highest points?
A) Compression fractures B) Burst fractures C) Rotational fractures D) Distraction fractures
Thoracolumbar Injury Classification and Severity Score (TLICS) is based on three categories i.e. injury morphology, neurologic status, and integrity of the posterior ligamentous complex -which are further subclassified. Score calculators are available on public search engines. In injury morphology, distraction fractures have the highest i.e., 4 points.
Describing the whole score is beyond this page but a score ≥5 suggests operative treatment, and a score ≤3 suggests stability.
Vaccaro AR, Lehman RA Jr, Hurlbert RJ, et al. A new classification of thoracolumbar injuries: the importance of injury morphology, the integrity of the posterior ligamentous complex, and neurologic status. Spine (Phila Pa 1976) 2005; 30:2325.