Orthonotes
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TLICS — Thoracolumbar Injury Classification & Severity Score

Morphology (compression 1, burst 2, translation/rotation 3, distraction 4), Posterior ligamentous complex integrity (intact 0, indeterminate 2, disrupted 3), Neurologic status (intact 0, nerve root 2, complete 2, incomplete 3). Score ≥5 → surgery; ≤3 → nonoperative; 4 = gray zone.

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Morphology (compression 1, burst 2, translation/rotation 3, distraction 4), Posterior ligamentous complex integrity (intact 0, indeterminate 2, disrupted 3), Neurologic status (intact 0, nerve root 2, complete 2, incomplete 3). Score ≥5 → surgery; ≤3 → nonoperative; 4 = gray zone.
MCQs

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Question 1

What TLICS score indicates a recommendation for surgical intervention in thoracolumbar injuries?

Question 2

In the TLICS classification, what morphology type is scored as 2?

Question 3

Which parameter in the TLICS classification assesses the integrity of the posterior ligamentous complex?

Question 4

What TLICS score would a patient with a complete neurological deficit and disruption of the posterior ligamentous complex likely receive?

Question 5

Which of the following injury morphologies indicates failure of all three columns?

Question 6

What does a TLICS score of 4 represent?

Question 7

In TLICS, which of the following would receive a score of 0 for neurological status?

Question 8

What type of injury is characterized by 'failure of the anterior and/or middle column under compressive loading'?

Question 9

Which injury morphology is most likely associated with retropulsed bone fragments into the spinal canal?

Question 10

In TLICS, what score is assigned for an indeterminate status of the posterior ligamentous complex?