cliot (version 1.0.0)

tlics_score: Thoracolumbar Injury Classification and Severity Scale (TLICS)

Description

Calculates the TLICS score to guide the surgical or non-surgical management of thoracolumbar spine trauma. The score is based on three categories: Injury Morphology, Neurological Status, and Integrity of the Posterior Ligamentous Complex (PLC).

Usage

tlics_score(injury_morphology, neurological_status, plc_integrity)

Value

A list containing:

TLICS_Score

The calculated total score (Range 1-10).

Recommendation

Clinical management guidance (Non-Operative <= 3, Indeterminate = 4, Operative >= 5).

Arguments

injury_morphology

String. Mechanism/Morphology of injury. "compression": Compression fracture (1 pt). "burst": Burst fracture (2 pts). "translation_rotation": Translational/Rotational injury (3 pts). "distraction": Distraction injury (4 pts).

neurological_status

String. Neurological status of the patient. "intact": Neurologically intact (0 pts). "root": Nerve root injury (2 pts). "complete": Complete spinal cord injury (2 pts). "incomplete": Incomplete spinal cord injury (3 pts). "cauda_equina": Cauda Equina Syndrome (3 pts).

plc_integrity

String. Status of the Posterior Ligamentous Complex. "intact": Intact (0 pts). "suspected": Injury suspected/Indeterminate (2 pts). "injured": Injured (3 pts).

References

Vaccaro AR, Lehman RA Jr, Hurlbert RJ, et al. A new classification of thoracolumbar injuries: the importance of injury morphology, the integrity of the posterior ligamentous complex, and neurologic status. Spine (Phila Pa 1976). 2005;30(20):2325-2333. doi:10.1097/01.brs.0000182956.43171.a5

Examples

# Example 1: Non-Operative
# Compression fx (1), Intact Neuro (0), Intact PLC (0)
# Score = 1
tlics_score("compression", "intact", "intact")

# Example 2: Operative
# Burst fx (2), Incomplete Injury (3), Suspected PLC (2)
# Score = 7
tlics_score("burst", "incomplete", "suspected")