The Subaxial Cervical AO Spine Injury Score.

Journal and index pages often block iframe embedding. This reader keeps the evidence details in Orthonotes and leaves the source page one click away.

Abstract

Conflict of interest statement: Declaration of Conflicting Interests: The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article. 8. Orthop Surg. 2026 Apr;18(4):733-744. doi: 10.1111/os.70280. Epub 2026 Mar 6. The Integrated Nerve, Discoligamentous Complex, and Vertebra Scoring System for Thoracolumbar Junction (TLJ) Injury. Qiao H(1)(2), Chen G(1)(2), Du H(1)(2), Cheng X(1)(2), Sun X(1)(2), Chen H(1)(2), Tian J(3), Zhang K(1)(2), Zhao C(1)(2), Zhao J(1)(2). Author information: (1)Department of Orthopaedic Surgery, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China. (2)Shanghai Key Laboratory of Orthopaedic Implants, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China. (3)Department of Orthopaedic, Fujian Provincial Hospital Affiliated to Fuzhou University, Fuzhou, Fujian, China. OBJECTIVES: To avoid the confusion of mechanism, tissue, morphology, and injury severity that resulted from previous modified AO, the Thoracolumbar Injury Classification and Severity Score (TLICS), the Thoracolumbar AO Spine Injury Score (TL AOSIS), and Load Sharing Classification (LSC), the integrated scoring system is devised for thoracolumbar junction (TLJ) injury that can better assist clinical decision-making strategy. METHODS: We reviewed the literature of TLJ classification and TLICS 4-point treatment. Scoring and remedy strategies were proposed retrospectively. Patients included were validated with the change of Visual Analogue Scale (VAS) and Oswestry Disability Index (ODI) after surgical treatment retrospectively. The interobserver and intraobserver reliability was also evaluated. RESULTS: Nerve, discoligamentous complex (DLC), and vertebral bone that are three main spinal structures are weighted as 5, 4, and 3 points, respectively. If nerve injury ≥ 3 and/or bone + DLC injury ≥ 4, surgical treatment is recommended. If nerve injury = 2, delayed surgery may be needed after close observation of consistent pain. If nerve injury ≤ 1 or the bone + DLC score