Thoracolumbar Injury Classification and Severity Score System

In 2005 the TLICS was published.  It allows a rapid assessment for injuries to the thoracolumbar spine and has been validated for use in children and adolescents (10,32,35,36)..

The TLICS

Characteristic Description Points Assigned
Morphology
Compression 1
Burst 2
Rotation/Translation 3
Distraction 4
Disruption Posterior Ligamentous Elements
Intact 0
Suspected 2
Disruption 3
Neurological Status
Intact 0
Nerve root 2
Cord, conus medullaris complete 4
Cord, conus medullaris incomplete 4
Cauda Equina 3
  • Nonsurgical management: Recommended when the sum of all categories is 0–3.
  • Surgical management: Recommended when the sum of all categories is ≥4.
  • Consideration of either intervention: Necessary when the total equals 4.