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. 2020 Sep 8;478(10):2390-2398. doi: 10.1097/CORR.0000000000001463

Table 2.

Subaxial Injury Classification and Severity Scale (SLICS) for subaxial cervical spine injuries

Injury Score
Morphologic features
 No morphologic abnormality 0
 Compression 1
 Burst 2
 Distraction 3
 Rotational and/or translational 4
Integrity of the discoligamentous complex
 Intact 0
 Indeterminate 1
 Disrupted 2
Patient’s neurologic status
 Intact 0
 Nerve root injury 1
 Complete 2
 Incomplete 3
 Persistent cord compression (in the setting of a neurologic deficit) +1
Total SLICS score 0 - 10

Author recommendations based on total score: nonoperative treatment for a total score ≤ 3; operative treatment for a total score ≥ 5; for a total score of 4, a recommendation is indeterminate requiring discretion of the treating surgeon.