Abstract
The Thoracolumbar Injury Classification and Severity (TLICS) score has gained popularity in guiding treatment for patients with burst fractures. This scoring system uses fracture type, disruption of the posterior ligamentum complex, and neurological status of the patient to guide surgical decision making for patients with burst fractures. Those with a TLIC score of greater than 4 are thought to require surgical intervention while those with a score of 4 may be managed with conservative management. When conservative management fails because of continued or progressive pain, surgical intervention may be pursued for the treatment of burst fracture in patients with intact PLC to allow early mobilization and discharge of the patient. Treatment options involve open versus percutaneous fixation with or without ligamentum taxis for fracture reduction. Short fixation versus long fixation with/or without the use of augmentation is often debated.
Sign-in/Register to access full text options 
Free) 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a call
