Kepler et al reported the Thoracolumbar AOSpine Injury Score as a companion to the AOSpine Thoracolumbar Spine Injury Classification System. The authors are from multiple universities in the United States and Europe.
Patient selection: thoracolumbar spinal fracture
Parameters:
(1) fracture subgroup (Type A are compression fractures, Type B are tension band injuries, Type C are translational injuries)
(2) neurologic status
(3) patient-specific modifiers
|
Parameter |
Finding |
Points |
|
fracture subgroup |
A0 |
0 |
|
|
A1 |
1 |
|
|
A2 |
2 |
|
|
A3 |
3 |
|
|
A4 |
5 |
|
|
B1 |
5 |
|
|
B2 |
6 |
|
|
B3 |
7 |
|
|
C |
8 |
|
neurologic status |
N0 |
0 |
|
|
N1 |
1 |
|
|
N2 |
2 |
|
|
N3 |
4 |
|
|
N4 |
4 |
|
|
Nx (unknown) |
3 |
|
patient-specific modifiers |
M1 |
1 |
|
|
M2 |
0 |
total score =
= SUM(points for all 3 parameters)
Interpretation:
• minimum score: 0
• maximum score: 13
• The higher the score the more severe the thoracolumbar spine injury.
Specialty: Surgery, orthopedic, Emergency Medicine, Critical Care, Surgery, general
