Validity of the Thoracolumbar Injury Classification System for Thoracolumbar Spine Injuries (흉요추부 손상의 TLICS 분류법의 유효성)

Kim Sung Kyu (김성규); Tae-Min Lee (이태민); 서형연; Won Gyun Lee (이원균)

Validity of the Thoracolumbar Injury Classification System for Thoracolumbar Spine Injuries

Journal of Korean Society of Spine Surgery
Abbr : J Kor Spine Sur
2017, 24(1), pp.16-23
Publisher : Korean Society Of Spine Surgery
Research Area : Medicine and Pharmacy > Orthopedic Surgery

Kim Sung Kyu ¹, Tae-Min Lee ¹, 서형연 ², Won Gyun Lee ²

¹전남대학교
²전남대학교 의과대학 정형외과학교실

Accredited

ABSTRACT

Study Design: Retrospective study. Objectives: To evaluate the validity of the thoracolumbar injury classification system (TLICS) when making treatment decisions in a group of thoracolumbar fracture patients. Summary of Literature Review: Few studies have evaluated the validity of the TLICS in consecutively treated patients, although many have evaluated the application of the TLICS to thoracolumbar injuries. Materials and Methods: A retrospective study was performed among the 230 patients who were treated from 2003 to 2015 in our hospital for thoracolumbar injuries. Evaluations were made of clinical outcomes and radiologic results, and each case was analysed and scored according to the American Spinal Injury Association scale, the Magerl/AO classification, and the TLICS classification by 2 spinal surgeons. Results: Of the 230 patients, 116 (50.4%) received conservative treatment and 114 (49.6%) received surgical treatment. Of the 116 patients who received conservative treatment, 112 (96.6%) were treated according to the TLICS guidelines. Conservative treatment failed for 2 of the 4 patients (1.7%) whose treatment did not correspond with TLICS, and they required surgical treatment. Of the 114 patients who underwent surgical treatment, in 87 (76.3%) the treatment corresponded to the TLICS guidelines. Conclusions: The TLICS classification showed high validity for the conservative treatment of thoracolumbar injuries.

KEYWORDS

Key words: Thoracolumbar spine, Fracture, TLICS Score, Surgical treatment, Conservative treatment

Citation status

* References for papers published after 2023 are currently being built.

[journal] Heary RF / 2007 / Decision-making in burst fractures of the thoracolumbar and lumbar spine / Indian J Orthop 41 : 268~276

[journal] Denis F / 1983 / The three column spine and its significance in the classification of acute thoracolumbar spinal injuries / Spine (Phila Pa 1976) 8 : 817~831

[journal] McAfee PC / 1983 / The value of computed tomography in thoracolumbar fractures. An analysis of one hundred consecutive cases and a new classification / J Bone Joint Surg Am 65 : 461~473

[journal] Magerl F / 1994 / A comprehensive classification of thoracic and lumbar injuries / Eur Spine J 3 : 184~201

[journal] Panjabi MM / 1995 / Validity of the three-column theory of thoracolumbar fractures. A biomechanic investigation / Spine (Phila Pa 1976) 20 : 1122~1127

[journal] Wood KB / 2005 / Assessment of two thoracolumbar fracture classification systems as used by multiple surgeons / J Bone Joint Surg Am 87 : 1423~1429

[journal] Vaccaro AR / 2005 / 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) 30 : 2325~2333

[journal] Patel AA / 2007 / The adoption of a new classification system: time-dependent variation in interobserver reliability of the thoracolumbar injury severity score classification system / Spine (Phila Pa 1976) 32 : E105~E110

[journal] Raja Rampersaud Y / 2006 / Agreement between orthopedic surgeons and neurosurgeons regarding a new algorithm for the treatment of thoracolumbar injuries : a multicenter reliability study / J Spinal Disord Tech 19 : 477~482

[journal] Vaccaro AR / 2006 / Reliability of a novel classification system for thoracolumbar injuries: the Thoracolumbar Injury Severity Score / Spine (Phila Pa 1976) 31(Suppl) : 62~69

[journal] Joaquim AF / 2011 / Evaluation of the thoracolumbar injury classification system in thoracic and lumbar spinal trauma / Spine (Phila Pa 1976) 36 : 33~36

[journal] Wood K / 2003 / Operative compared with nonoperative treatment of a thoracolumbar burst fracture without neurological deficit. A prospective, randomized study / J Bone Joint Surg Am 85 : 773~781

[journal] Wood KB / 2015 / Operative compared with nonoperative treatment of a thoracolumbar burst fracture without neurological deficit: a prospective randomized study with follow-up at sixteen to twenty-two years / J Bone Joint Surg Am 97 : 3~9

[journal] Siebenga J / 2006 / Treatment of traumatic thoracolumbar spine fractures: a multicenter prospective randomized study of operative versus nonsurgical treatment / Spine (Phila Pa 1976) 31 : 2881~2890

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Journal of Korean Society of Spine Surgery 2023 KCI Impact Factor : 0.03