1) To present the new thoracolumbar injury classification and severity score (TLICS) as the increasingly adopted classification system by spine surgeons.
2) To understand the differences and advantages of TLICS compared to traditional classification systems such as the 3-columns of Denis by offering prognostic information and aiding in management decisions.
3) To recognize the importance of the posterior ligamentous complex as the most important component in stablity of the spine in this new paradigm and the role of MRI.
4) To learn how to accurately score and report each component of TLICS.
5) To recognize common imaging pitfalls in the evaluation of spine trauma.
1) Mechanisms of spinal trauma and patterns of injuries
2) What is TLICS and why is it eclipsing other classification systems?
3) Illustration through cases of how to score TLICS based on its 3 components
a. Morphology of the fracture
b. Integrity of the posterior ligamentous complex
c. Neurological status assessed clinically
4) How good are we at evaluating each component?
a. Review of 12 cases shown to 3 independent MSK radiologists and 3 independent spine surgeons, inter-observer reliability will be presented along with data from literature review.
b. Pitfalls leading to error in scoring will be depicted through cases.
Zheng, J,
Razaghi Kashani, N,
What's New in Thoracolumbar Spine Trauma? The Latest Thoracolumbar Injury Classification and Severity Score (TLICS) and MRI as the Game-Changer. Radiological Society of North America 2014 Scientific Assembly and Annual Meeting, - ,Chicago IL.
http://archive.rsna.org/2014/14017147.html
