TLICS Calculator

1 Morphology (Injury Pattern)

No abnormality Normal imaging

0 pts

Compression Anterior column failure only

1 pt

Burst Anterior and posterior column failure

2 pts

Translational/Rotational Facet dislocation, fracture-dislocation

3 pts

Distraction Flexion-distraction injury (Chance fracture)

4 pts

2 Posterior Ligamentous Complex (PLC)

Intact No evidence of PLC injury on imaging

0 pts

Suspected/Indeterminate MRI signal change, widened interspinous space

2 pts

Injured Clear disruption on MRI or surgery

3 pts

3 Neurologic Status

Intact No neurological deficit

0 pts

Nerve Root Injury Radicular symptoms

2 pts

Cord/Conus (Incomplete) Incomplete spinal cord injury

2 pts

Cord/Conus (Complete) Complete spinal cord injury

2 pts

Cauda Equina Saddle anesthesia, bowel/bladder dysfunction

3 pts