Sohag experience in treatment of Dorsolumbar fractures according to Thoracolumbar injury classification and severity score(TLICS)
Abdelrhman, A., Shaker, A., Kassem, A., Ahmed, A., Abdel-Wanis, M. (2018). Sohag experience in treatment of Dorsolumbar fractures according to Thoracolumbar injury classification and severity score(TLICS). EKB Journal Management System, 22(1), 105-109. doi: 10.21608/smj.2018.40591
Ahmed M.El-Dein Abdelrhman; Ahmed saleh Shaker; Ahmed Hamed Kassem; Ashraf Rashad Ahmed; Mohamed El saed Abdel-Wanis. "Sohag experience in treatment of Dorsolumbar fractures according to Thoracolumbar injury classification and severity score(TLICS)". EKB Journal Management System, 22, 1, 2018, 105-109. doi: 10.21608/smj.2018.40591
Abdelrhman, A., Shaker, A., Kassem, A., Ahmed, A., Abdel-Wanis, M. (2018). 'Sohag experience in treatment of Dorsolumbar fractures according to Thoracolumbar injury classification and severity score(TLICS)', EKB Journal Management System, 22(1), pp. 105-109. doi: 10.21608/smj.2018.40591
Abdelrhman, A., Shaker, A., Kassem, A., Ahmed, A., Abdel-Wanis, M. Sohag experience in treatment of Dorsolumbar fractures according to Thoracolumbar injury classification and severity score(TLICS). EKB Journal Management System, 2018; 22(1): 105-109. doi: 10.21608/smj.2018.40591

Sohag experience in treatment of Dorsolumbar fractures according to Thoracolumbar injury classification and severity score(TLICS)

Sohag Medical Journal
Article 12, Volume 22, Issue 1, January 2018, Page 105-109  XML PDF (57.12 K)
Document Type: Original Article
DOI: 10.21608/smj.2018.40591
View on SCiNiTO View on SCiNiTO
Authors
Ahmed M.El-Dein Abdelrhman1; Ahmed saleh Shaker1; Ahmed Hamed Kassem2; Ashraf Rashad Ahmed1; Mohamed El saed Abdel-Wanis1
1Department of Orthpaedic and Traumatology , Faculty of Medicine, Sohag University.
2Department of Orthopedic Surgery,Faculty of Medicine,Sohag University Hospital, Egypt.
Abstract
Background:.The Thoracolumbar Injury Classification and Severity Score (TLICS) was developed to improve injury classification and guide surgical decision making, yet validation remains necessary. This study evaluates the functional ,clinical and radiological  outcome of patients with thoracolumbar spine trauma (TLST) treated according to the TLICS.
Aim of the work:To validate the efficacy of Thoracolumbar  injury classification and severity score (TLICS) in orthopaedic emergency department at sohag university hospitals.
Patients and methods:The TLICS was prospectively applied to a consecutive series of patients (30 cases) treated for TLST between October 2016 and October 2017. Patients with a TLICS  score  more than 4 points were surgically treated, whereas patients with a TLICS score of  less than 4 points were conservatively managed.Those with a score of equal 4 ,group were managed  conservatively and  the other were operated.The primary outcome was the American Spinal Injury Association Impairment Scale (AIS)(1).
Results:The decision taken according to TLICS either conservative if the final score 4. Conservative treatment in the form of rest and
dorsolumbosacral brace .Operative in form of posterior fixation with or without decompression .Transpedicular fixation and decompression was needed in 10 cases (33.33%) because they were suffering from neurological insult.The mean age was 34years.There were a marked improvement in angle of kyphosis , vertebral height loss and Oswestry disability index .No patient had neurological worsening during the follow-up.
Conclusion:.Thoracolumnar injury and severity score is valid and safe for management of thoracolumbar fractures and has good reliability.
Supplementary Files
References
  1. 1.      Kirshblum, Steven C.; Burns, Stephen P.; Biering-Sorensen, Fin; Donovan, William; Graves, Daniel E.; Jha, Amitabh; Johansen, Mark; Jones, Linda; Krassioukov, Andrei; Mulcahey, M.J.; Schmidt-Read, Mary; Waring, William (2011). "International standards for neurological classification of spinal cord injury (Revised 2011)". The Journal of Spinal Cord Medicine. 34 (6): 535–546
2. Hu R, Mustard CA, Burns C. Epidemiology of incident spinal fracture in a complete population. Spine 1996;21:492.

3. Tran NT, Watson NA, Tender AF, et al. Mechanism of the burst fracture inthoracolumbar spine. Spine 1995; 20:1984 -8.

4. Bohlman HH. Treatment of fractures and dislocations of the thoracic and lumbar spine. J Bone Joint Surg Am 1985;67:165-9.

5.Keynan, Ory; Fisher, CG; Vaccaro, A; Fehlings, MG; Oner, FC; Dietz, J; Kwon, B;

Rampersaud, R; Bono, C; France, J; Dvorak, M (Mar 1, 2006). "Radiographic measurement parameters in thoracolumbar fractures: a systematic review and consensus statement of the spine trauma study group.". Spine 31 (5): E156–65. doi:10.1097/01.brs.0000201261.94907.0d. PMID 16508540. Retrieved 15 December 2012

6. Andrei F. Joaquim(2013), the spine journal, retrospective eavaluation of the validity of thoracolumbar injury and severity score. Volume 13|issue 12

7. George Sapkas1, Konstantinos Kateros2, Stamatios A. Papadakis(2010) Treatment of Unstable Thoracolumbar Burst Fractures by Indirect Reduction and Posterior Stabilization: Short-Segment Versus Long- Segment Stabilization The Open Orthopaedics Journal, 2010, 4, 7-13

8. Spiros G.Pneumaticos ,panagiotis K.Karaminos (2016) Evaluation of TLICS for thoracolumbar fractures .Eur spinr J.25:1123-1127 DOI 10.1007/500586-015-3889y.

Statistics
Article View: 181
PDF Download: 218