Retrospective Analysis of Thoracolumbar Junction Injuries Using the Thoracolumbar Injury Severity and Classification Score, American Spinal Injury Association Class, Injury Severity Score, Age, Sex, and Length of Hospitalization

Dodwad, Shah-Nawaz M.; Dodwad, Shah-Jahan M; Wisneski, Ronald J.; Khan, Safdar N.

doi:10.1097/bsd.0b013e3182a14743

Cited by 14 publications

(18 citation statements)

References 12 publications

(10 reference statements)

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“…However, this finding was not statistically significant. The male predominance was similiar with the literature (13)(14)(15). The difference between the treatment methods and gender was also statistically insignificant as well as the study of Dodwad SN et al (13).…”

Section: Discussionsupporting

confidence: 81%

Evaluation of Thoracolumbar Injuries in Trakya University School of Medicine According to Aospine Classification System

Aksu¹,

Saran²,

Oflaz³

et al. 2020

tmsj

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Aims:This study aims to classify the thoracolumbar spinal injuries that were treated in Trakya University School of Medicine according to the recent Thoracolumbar AOSpine injury score and crosscheck the classified data with categorical modifiers such as gender, trauma type and treatment type. Methods: AOSpine Classification System was used to classify thoracolumbar spinal injuries. Classes were compared with patients' gender, age, trauma energy and treatment type. Pearson Chi-Squared test and Shapiro-Wilk test were used for statistical analysis. Results: The total number of patients was 248. One hundred fifty-two (61.3%) were male and 96 (38.7%) were female. One hundred and three (86.6%) patients had high-energy trauma and 16 (13.4%) patients had low-energy trauma in a total of 119 operated patients. Relationship between treatment type and AOSpine Classification System statistically significant. There was also a significant difference between trauma energy and AOSpine Classification System types. Conclusion: As a conclusion, gender and trauma energy were found to have a relationship and higher energy traumas were most likely to cause spinal fractures. In addition, AOSpine classification system may be one of the confounding factors regarding the choice of treatment.

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Section: Discussionsupporting

confidence: 81%

Evaluation of Thoracolumbar Injuries in Trakya University School of Medicine According to Aospine Classification System

Aksu¹,

Saran²,

Oflaz³

et al. 2020

tmsj

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“…In the authors’ opinion there is a sub-group of fractures which require special consideration — that TLICS disregards — to avoid greater problems in the future. This opinion stands in line with a recent article published by Dodwad et al 28 where use of the TLICS system is recommended in conjunction with clinical judgement. Joaquim et al 29 also highlighted inconsistencies in the treatment recommendations of thoracolumbar burst fractures when TLICS is used.…”

Section: Classificationsupporting

confidence: 85%

Thoracolumbar fractures without neurological impairment

et al. 2016

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An appropriate protocol and unified management of thoracolumbar fractures without neurological impairment has not been well defined.This review attempts to elucidate some controversies regarding diagnostic tools, the ability to define the most appropriate treatment of classification systems and the evidence for conservative and surgical methods based on the recent literature.Cite this article: Vilà-Canet G, García de Frutos A, Covaro A, Ubierna MT, Caceres E. Thoracolumbar fractures without neurological impairment: a review of diagnosis and treatment. EFORT Open Rev 2016;1:332-338. DOI: 10.1302/2058-5241.1.000029

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“…As shown in Table 1 , the evidence for evaluating the validity of the TLICS is favorable in the last decade. The TLICS has been a reliable classification system in the management of single-column fractures treated conservatively, and three-column injuries (flexion/extension distraction injuries and fracture-dislocations) treated with surgical stabilization [ 22 - 23 ]. However, limited data have been published addressing the TLIC score of 4 or gray zone in which there is a lack of standardization of surgical or non-surgical management among treating physicians.…”

Section: Reviewmentioning

confidence: 99%

The Effect of Thoracolumbar Injury Classification in the Clinical Outcome of Operative and Non-Operative Treatments

Smith¹,

Abdulazeez²,

ElGawady³

et al. 2021

Cureus

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This review assesses the validity of a biomechanical approach using finite element analysis in the Thoracolumbar Injury Classification and Severity Score System (TLICS) by addressing the “gray zone” decision discrepancy of thoracolumbar spinal injuries. A systematic review was performed using the keywords “Thoracolumbar Injury Classification” AND “finite element analysis of the spinal column” to evaluate the validity of the TLICS and finite element analysis of the thoracolumbar spinal column. Results were classified according to the main conclusions and level of evidence. Thirteen articles are included. Four of the articles evaluated the TLICS in comparison to other classification systems of thoracolumbar spinal injuries. A notable finding is that the TLICS had inconsistencies with other classification systems in the treatment of burst fractures without neurological deficits. One article evaluated the TLICS with the inclusion of magnetic resonance imaging (MRI) in the evaluation, which decreased the agreement between the suggested and actual treatment. Among the three finite element analysis studies, limited data have been published on the posterior ligamentous complex (PLC) status when an injury is suspected or indeterminate. The TLICS has been a reliable classification system in the management of single-column fractures and three-column injuries treated with surgical stabilization. Special attention to enhancing the TLICS classification system by eliminating the “gray zone” of a TLICS score of 4 is essential. Biomedical computational modeling evaluating the PLC status of indeterminate or injury suspected is needed to enhance the current TLICS system and to clarify the decision discrepancy in the “gray zone.”

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Retrospective Analysis of Thoracolumbar Junction Injuries Using the Thoracolumbar Injury Severity and Classification Score, American Spinal Injury Association Class, Injury Severity Score, Age, Sex, and Length of Hospitalization

Cited by 14 publications

References 12 publications

Evaluation of Thoracolumbar Injuries in Trakya University School of Medicine According to Aospine Classification System

Evaluation of Thoracolumbar Injuries in Trakya University School of Medicine According to Aospine Classification System

Thoracolumbar fractures without neurological impairment

The Effect of Thoracolumbar Injury Classification in the Clinical Outcome of Operative and Non-Operative Treatments

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