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Spine
intermediate
X-Type

Subaxial Cervical Spine Injury Classification

Cervical Spine Trauma

A 35-year-old man is brought to the emergency department after a diving accident. He has severe neck pain and bilateral arm weakness with sensory loss below C6 level. MRI shows a C5-C6 facet fracture-dislocation with bilateral jumped facets, complete disco-ligamentous complex disruption, and spinal cord compression with signal change. His neurological examination demonstrates incomplete spinal cord injury with sacral sparing. Regarding subaxial cervical spine injury classification:

Mark each as TRUE or FALSE

A

The Subaxial Cervical Spine Injury Classification (SLIC) is a severity scoring system that guides tr...

B

SLIC morphology scoring: compression (1 point), burst (2 points), distraction (3 points), rotation/t...

C

SLIC only applies to upper cervical injuries; morphology is not assessed; DLC integrity is irrelevan...

D

Treatment guidelines based on SLIC score: total score less than 4 suggests non-operative treatment (...

E

For the case described (bilateral jumped facets, DLC disruption, incomplete cord injury): morphology...

Answer the questions to see explanations

Click T (True) or F (False) for each option