UCSD Musculoskeletal Radiology
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MSK Classifications
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UCSD Musculoskeletal Radiology bonepit.com MSK Classifications |
The Subaxial Cervical Spine Injury Classification (SLIC) system is a classification system for subaxial cervical spine trauma that helps determine information about injury pattern and severity, in addition to treatment considerations and prognosis.
| Characteristic | Points |
| Morphology | |
| No abnormality | 0 |
| Compression Burst |
1 +1=2 |
| Distraction (eg, facet perch, hyperextension) | 3 |
| Rotation/translation (eg, facet dislocation, unstable teardrop or advanced-stage flexion compression injury) | 4 |
| Discoligamentous complex (DLC) | |
| Intact | 0 |
| Indeterminate (eg, isolated interspinous widening, MRI signal change only) | 1 |
| Disrupted (eg, widening of disk space, facet perch or dislocation) | 2 |
| Neurological status | |
| Intact | 0 |
| Root injury | 1 |
| Complete cord injury | 2 |
| Incomplete cord injury | 3 |
| Continuous cord compression in setting of neurodeficit (Neuro Modifier) | +1 |
Table 2. Interpretation of SLIC System Scoring
| Score | Interpretation |
| < 4 | Nonoperative treatment |
| 4 | Operative versus nonoperative |
| ≥5 | Operative treatment |