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TLICS — Thoracolumbar Injury Classification & Severity Score

Morphology (compression 1, burst 2, translation/rotation 3, distraction 4), Posterior ligamentous complex integrity (intact 0, indeterminate 2, disrupted 3), Neurologic status (intact 0, nerve root 2, complete 2, incomplete 3). Score ≥5 → surgery; ≤3 → nonoperative; 4 = gray zone.