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Background:.The Thoracolumbar Injury Classification and Severity Score (TLICS) was developed to improve injury classification and guide surgical decision making, yet validation remains necessary. This study evaluates the functional ,clinical and radiological outcome of patients with thoracolumbar spine trauma (TLST) treated according to the TLICS. Aim of the work:To validate the efficacy of Thoracolumbar injury classification and severity score (TLICS) in orthopaedic emergency department at sohag university hospitals. Patients and methods:The TLICS was prospectively applied to a consecutive series of patients (30 cases) treated for TLST between October 2016 and October 2017. Patients with a TLICS score more than 4 points were surgically treated, whereas patients with a TLICS score of less than 4 points were conservatively managed.Those with a score of equal 4 ,group were managed conservatively and the other were operated.The primary outcome was the American Spinal Injury Association Impairment Scale (AIS). Results:The decision taken according to TLICS either conservative if the final score <4 or operative if >4. Conservative treatment in the form of rest and dorsolumbosacral brace .Operative in form of posterior fixation with or without decompression .Transpedicular fixation and decompression was needed in 10 cases (33.33%) because they were suffering from neurological insult.The mean age was 34years.There were a marked improvement in angle of kyphosis , vertebral height loss and Oswestry disability index .No patient had neurological worsening during the follow-up. Conclusion:.Thoracolumnar injury and severity score is valid and safe for management of thoracolumbar fractures and has good reliability. Introduction Each year, there are approximately 5 million new vertebral fractures worldwide. Most of these fractures involve the thoracolumbar or lumbar spines. The thoracolumbar junction, due to its mechanical transition zone, and the lumbar spine, due to its absence of stabilizing articulations with the ribs, lordotic posture and more sagittal oriented facet joints, are vulnerable for involvement in spinal injuries. Burst fractures occur frequently in high-energy traumas which are most commonly associated with falls and traffic accidents. Aim of the study To validate the efficacy of Thoracolumbar injury classification and severity score (TLICS) in orthopaedic emergency department at sohag university hospitals patients and methods The study included 30 patients (13 male ,17 females) suffering from thoracolumbar fractures attending at department of Orthopedics and PDF created with pdfFactory Pro trial version www.pdffactory.com SOHAG MEDICAL JOURNAL Sohag experience in treatment of Dorsolumbar fractures according Vol. 22 No.1 Jan 2018 Ahmed Mohi.El-Dein Abdelrhman 106 traumatology, Sohag university hospitals, Sohag University from October 2016 till October 2017. For All patients, the following data were obtained: 1. Age 2. Sex 3. Mode of trauma 4. Level of fractured vertebra 5. Associated injuries 6. Neurological status according to ASIA After the completion of the hospital treatment patients were discharged andfollow up of cases at 1,3& 6 months by: Clinical and neurological evaluation of each patient by Oswestry Disability index(ODI) , and visual pain analogue score(VAS). Radiological evaluation at (1, 3& 6 months) to assess : .Angle of kyphosis using cobb method ..Vertebral height loss Results -The study was performed in Orthopaedic and traumatology department at Sohag University Hospital in the period from October 2016 to October 2017and included 30 patient (13 female&17male) who were suffering from thoracolumbar fractures . Distributions of TLICS among studied populations

Sohag experience in treatment of Dorsolumbar fractures according to Thoracolumbar injury classification and severity score(TLICS)