摘要目前较为实用的一个指导胸腰椎骨折分型和治疗的评分是胸腰椎损伤分型和严重评分(TLICS),其有效性和可靠性已经过大量文献证实.尽管这一评分已经提出10余年,但目前国内仍缺乏相对权威、详细介绍TLICS临床应用的文章,部分介绍TLICS的文章在概念表达上仍有一定问题.本文通过对TLICS发展历史、中文规范翻译、适用节段和适用人群、后方韧带复合体损伤判断,脊柱前、中柱损伤评分及评分阈值划分标准改进与载荷分享评分联合指导手术入路等9个问题进行探讨,希望能帮助临床医生更深入地理解TLICS的适用标准,并将之更好地运用于临床以指导胸腰椎骨折的治疗.

abstractsSpinal fractures are a big challenge to orthopedists.Thoracolumbar Injury Classification and Severity Score (TLICS),a newly developed evaluation system for thoracolumbar fractures,has proved to be valid and reliable in the last decade.However,there have still been many problems in the clinical application of TLICS in China.We discussed nine issues about the clinical application of TLICS in this article,hoping to promote better understanding and application of TLICS in Chinese spinal surgeons in their daily practice.