Table 5.
A list of specific injuries that would carry a nonoperative or indeterminate recommendation from the SLICS algorithm, which would otherwise be treated surgically based on commonly accepted surgical indications in the available evidence [10, 12, 13, 26, 27, 31, 32, 36, 40]
Example injury | Total SLIC Score |
Burst fracture (2), with a nerve root injury (1), with or without continuous cord compression (+1) | 3-4 |
Complete (2) or incomplete (3) spinal cord injury with indeterminate DLC injury (1) | 3-4 |
Compression fracture (1) with a complete (2) or incomplete (3) spinal cord injury | 3-4 |
DLC injury (2) with severe kyphosis | 2 |
DLC injury (2) with nerve root (1) or complete spinal cord injury (2) | 3-4 |
Floating lateral mass (compression = 1, DLC injury = 2), with or without a nerve root injury | 3-4 |
Other facet fractures without observed distraction/translation/rotation components, and with varying degrees of neurological deficit | 1-4 |
SLICS = Subaxial Injury Classification and Severity Scale; DLC = discoligamentous complex.