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Spine
intermediate
X-Type

Thoracolumbar Trauma Classification

Spinal Trauma

A 28-year-old construction worker falls 5 meters and presents with severe back pain. He has no neurological deficit. CT scan shows an L1 burst fracture with 50% canal compromise, 25° kyphosis, and disruption of the posterior ligamentous complex (PLC) seen on MRI as increased signal in the interspinous ligament. There is no translation or rotation. Regarding thoracolumbar trauma classification:

Mark each as TRUE or FALSE

A

The Thoracolumbar Injury Classification and Severity Score (TLICS) evaluates three components: morph...

B

The AO Spine classification describes morphology (Type A compression, B tension band/distraction, C ...

C

The Denis three-column model is the current preferred classification; in TLICS, neurological deficit...

D

The posterior ligamentous complex (PLC) includes the supraspinous ligament, interspinous ligament, l...

E

Treatment principles: TLICS greater than 4 generally indicates surgical stabilization; incomplete ne...

Answer the questions to see explanations

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