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J Trauma Inj. 2018 Aug;31(2):76-81. English. Case Report. https://doi.org/10.20408/jti.2018.31.2.76
Kwon WK , Oh JK , Cho JM , Kwon TH , Park YK , Moon HJ , Kim JH .
Department of Neurosurgery, Korea University Guro Hospital, Korea University College of Medicine, Seoul, Korea. kwontym@gmail.com
Focused Training Center for Trauma, Korea University Guro Hospital, Korea University College of Medicine, Seoul, Korea.
Department of Orthopedic Surgery, Korea University Guro Hospital, Korea University College of Medicine, Seoul, Korea.
Department of General Surgery, Korea University Guro Hospital, Korea University College of Medicine, Seoul, Korea.
Abstract

Fractures at the thoracolumbar region are commonly followed after major traumatic injuries, and up to 20% of these fractures are known to be burst fractures. Making surgical decisions for these patients are of great interest however there is no golden standard so far. Since the introduction of Thoracolumbar Injury Classification and Severity (TLICS) score in 2007, it has been widely used as a referential guideline for making surgical decisions in thoracolumbar fractures. However, there is still limitations in this system. In this clinical case report, we introduce a L1 burst fracture after motor vehicle injury, who was successfully treated conservatively even while she was graded as a TLICS 5 injury. A case report is presented as well as discussion on the limitations of this grading system.

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