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. 2025 Mar 17;17(3):e80705. doi: 10.7759/cureus.80705

Table 5. Sub-axial Injury Classification and Severity Scale (SLICS) for further management of sub-axial cervical spine fractures.

Adapted from [2, 13]

Sub-axial Injury Classification and Severity Scale (SLICS)
Category Parameter Description Points
1 Injury morphology Compression 1
Burst 2
Distraction 3
Rotation/translation 4
2 Disco-ligamentous complex integrity Intact 0
Suspected disruption 1
Disruption 2
3 Neurological status Intact 0
Nerve root injury 1
Complete cord injury 2
Incomplete cord injury 3
Persistent cord injury +1
Management plan according to points
1-3 points Non-surgical management
4 points Surgical or non-surgical management
5-10 points Surgical management