Thoracolumbar_Burst_Fxrs

Question 1

Laminar fracture in TL burst fxrs

Answer 1

Associated with dural tear and nerve root entrapment

Question 2

TLICS
Meaning
Component Parts

Answer 2

Thoracolumbar Injury Classification and Severity Score
Morphology
Neurological Status
Posterior Ligamentous Complex

Question 3

TLICS Morphology & Points

Answer 3

Compression 1 point
Burst additional 1 point (2points)
Rotation/translation 3 points
Distraction 4 points

Question 4

TLICS Neurological Status & Points

Answer 4

Intact 0 points
Nerve root 2 points
Incomplete cord or conus medullaris injury 3 points
Complete cord or conus medullaris injury 2 points
Caluda equina syndrome 3 points

Question 5

TLICS Posterior Ligamentous Complex Injury & Points

Answer 5

Intact 0 points - MRI shows no edema, Flx/ext X-ray no widening
Suspected/Indeterminate 2 points - MRI some signal intensity
Disrupted 3 points - widening of interspinous distance

Question 6

TLICS Score Rx Implications

Answer 6

Score < 4 - nonsurgical
Score = 4 - nonsurgical or surgical
Score > 4 - surgical