Subaxial Injury Classification Scale

Aka: Subaxial Injury Classification Scale, Subaxial Injury Classification and Severity Scale, SLIC

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II. Indications

  1. Cervical Spine Fracture
    1. Evaluation of Fracture stability

III. Criteria

  1. Morphology
    1. Score 0: No abnormality
    2. Score 1: Compression
    3. Score 2: Burst
    4. Score 3: Translation or Rotation
    5. Score 4: Distraction
  2. Discoligamentous Complex
    1. Score 0: Intact
    2. Score 1: Indeterminate
    3. Score 2: Disrupted
  3. Neurologic Status
    1. Score 0: Intact
    2. Score 1: Nerve Root Injury
    3. Score 2: Complete Cord Injury
    4. Score 3: Incomplete Cord Injury

IV. Interpretation

  1. Add total from each of the three categories
  2. Total score >4 is an indication for surgical management
    1. Fracture realignment and stabilization
    2. Decompression

V. Resources

  1. Subaxial Injury Classification and Severity Scale
    1. https://www.mdcalc.com/calc/10085/subaxial-injury-classification-severity-scale-slics

VI. References

  1. Patel (2008) Neurosurg Focus 25(5): E8 [PubMed]

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