Progressive kyphotic deformity in comminuted burst fractures treated non-operatively: the Achilles tendon of the Thoracolumbar Injury Classification and Severity Score (TLICS).

摘要

In this Grand Rounds presentation, the authors perform a comprehensive discussion about the historical developments in the classification systems for thoracolumbar fractures with special emphasis in the new TLICS system. Although such score presents several advantages in relation to other grading systems, patients with comminuted burst fractures deserve special attention, even if initially classified as non-operative according to the TLICS algorithm. In such cases, if a decision of conservative management is taken, a close follow-up is recommended due to the high likelihood of long-term kyphotic deformity.