Reliability of the Thoracolumbar Injury Classification and Severity Score and Comparison With the Denis Classification for Injury to the Thoracic and Lumbar Spine

Abstract

TLICS is a reliable system for assessing fractures of the thoracic and lumbar spine when used by experts. Similar to previous studies, the posterior ligamentous complex subcomponent score was the least reliable component. Reliability assessment using a generalizability coefficient is a robust method for validating fracture classifications.

Automated Detection, Localization, and Classification of Traumatic Vertebral Body Fractures in the Thoracic and Lumbar Spine at CT

“…Motivation for this task arises from the three-column description of Denis, in which spinal instability is determined when any two of the three Denis spinal columns are disrupted (18,19). Additional motivation for this sample task arises from clinical practice, where the Denis three-column model is the most commonly used classification system (35). The Denis classification system has been previously reported to demonstrate fair to good interobserver reliability (36).…”

Modified thoracolumbar injury classification and severity score (TLICS) and its clinical usefulness

“…The level and types of the fractures were also recorded: In mTLICS scoring, point assignments include: compression fractures with height loss less than 50% (1 point) and more than 50% (2 points); burst fractures with height loss and spinal stenosis less than 50% (2 points) and other types of the burst fractures (3 points) (Figs. [1][2][3][4]. Other injury morphology types were assigned using the same criteria as TLICS (Table 2).…”

Thoracolumbar spine trauma: Evaluation and surgical decision-making

“…[20] As a result, they obtained a good interobserver agreement with the TLICS (kappa coefficient of 0.73-0.74), emphasizing that the PLC was the least reliable factor. As a conclusion, the TLICS proposal treatment was in concordance with the treatment proposal by the experts.…”