![]() Therefore, it is crucial to rapidly and accurately assess the fracture injury status and employ appropriate treatment measures to achieve better therapeutic outcomes. It is often associated with varying degrees of spinal nerve injury, which can significantly impact the patients’ quality of life. Thoracolumbar fracture is the most common type of spinal injury, accounting for approximately 90% of all spinal injuries. It has guiding significance for clinical treatment, and the operation rate was slightly lower than that of TLICS system. The modified TLICS system is a practical tool for the classification and assessment of thoracolumbar fractures. However, no instances of rod breakage were reported. Additionally, two cases of pedicle screw breakage and seven cases of pedicle screw wear and cutting in the vertebral body were observed at the last follow-up, resulting in varying degrees of low back pain. ![]() All these measurements demonstrated statistically significant differences compared to the values observed prior to treatment ( P < 0.05). Notably, the anterior vertebral height ratio was 87.10 ± 7.17%, the sagittal index was 90.35 ± 7.72%, and the Cobb angle was 3.05 ± 0.97 degrees at the last follow-up. ![]() The neurological status exhibited varying degrees of improvement. At the last follow-up, the visual analogue scale score was 1.94 ± 0.52, and the modified Japanese Orthopaedic Association score was 28.8 ± 4.5, indicating a significant improvement compared to the scores obtained prior to treatment. All patients were followed up for a mean duration of 19.2 ± 4.6 months, ranging from 11 to 27 months. However, the operation rate for the modified TLICS system (73.3%) was slightly lower compared to the TLICS system (79.2%). The analysis of 120 patients revealed no statistically significant difference in the total score or treatment method between the TLICS system and the modified TLICS system. Furthermore, the study compared the treatment options, imaging data, and clinical efficacy between two classification systems. The evaluation was performed using the total score T, which guided the formulation of the clinical treatment strategy. ![]() The severity of the fractures was assessed based on comprehensive scores incorporating fracture morphology, neurological function, posterior ligament complex integrity, and disc injury status. The study population consisted of 68 males and 52 females, with an average age of 36.7 ± 5.7 years. MethodsĪ retrospective study was conducted on a cohort of 120 patients with thoracolumbar fractures who were admitted to the Department of Spinal Surgery at Ningbo Sixth Hospital between December 2019 and June 2021. This study aimed to evaluate the feasibility of the modified thoracolumbar injury classification and severity score system in guiding clinical treatment. ![]()
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