Evidence map›Paper›PMID 16307197›Full record

ArticleJournal of orthopaedic science : official journal of the Japanese Orthopaedic Association2005

Thoracolumbar injury classification and severity score: a new paradigm for the treatment of thoracolumbar spine trauma.

Joon Y Lee, Alexander R Vaccaro, Moe R Lim, F C Oner, R John Hulbert, Rune Hedlund, Michael G Fehlings, Paul Arnold, James Harrop, Christopher M Bono and 6 more

Abstract readLecture
In one paragraph

Article in Journal of orthopaedic science : official journal of the Japanese Orthopaedic Association, 2005. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 73 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
73citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

73 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
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  14. Clinical and Radiological Efficacy of Short-SegmentKorean journal of neurotrauma · 2025
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  17. Epidemiology of pediatric thoracolumbar spinal fractures and associated injuries: a single-center experience.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2025
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  19. Traumatic thoracic spine fracture: can we predict when MRI would modify the fracture classification or decision-making compared to CT alone?European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2024
    Article
  20. Review

13 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

16 authors.

Joon Y LeeUniversity of Pittsburgh Medical Center, Pittsburgh, PA 19107, USA.
Alexander R Vaccaro
Moe R Lim
F C Oner
R John Hulbert
Rune Hedlund
Michael G Fehlings
Paul Arnold
James Harrop
Christopher M Bono
Paul A Anderson
D Greg Anderson
Mitchel B Harris
Andrew K Brown
Gordon H Stock
Eli M Baron

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundContemporary understanding of the biomechanics, natural history, and methods of treating thoracolumbar spine injuries continues to evolve. Current classification schemes of these injuries, however, can be either too simplified or overly complex for clinical use.

methodsThe Spine Trauma Group was given a survey to identify similarities in treatment algorithms for common thoracolumbar injuries, as well as to identify characteristics of injury that played a key role in the decision-making process.

resultsBased on the survey, the Spine Trauma Group has developed a classification system and an injury severity score (thoracolumbar injury classification and severity score, or TLICS), which may facilitate communication between physicians and serve as a guideline for treating these injuries. The classification system is based on the morphology of the injury, integrity of the posterior ligamentous complex, and neurological status of the patient. Points are assigned for each category, and the final total points suggest a possible treatment option.

conclusionsThe usefulness of this new system will have to be proven in future studies investigating inter- and intraobserver reliability, as well as long-term outcome studies for operative and nonoperative treatment methods.

Indexed as

Injury Severity ScoreAlgorithmsDecision MakingHumansLumbar VertebraeSpinal InjuriesThoracic VertebraeTrauma Severity Indices

Identifiers

PMID16307197
PMCPMC2779435

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.