Publications by authors named "Marco Martinez Cruz"
Background And Objectives: The most common thoracolumbar trauma classification systems are the Thoracolumbar Injury Classification and Severity Score (TLICS) and the Thoracolumbar AO Spine Injury Score (TL AOSIS). Predictive accuracy of treatment recommendations is a historical limitation. Our objective was to validate and compare TLICS, TL AOSIS, and a modified TLICS (mTLICS) that awards 2 points for the presence of fractured vertebral body height loss >50% and/or spinal canal stenosis >50% at the fracture site.
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- The study investigates how spinopelvic parameters and global spine morphology affect fracture location, fracture type, and neurological outcomes in patients with thoracolumbar trauma.
- After reviewing 2,896 patients, 514 were selected based on specific criteria; data such as age, injury mechanism, and body type were collected, differentiating between high pelvic incidence (PI) and low PI patients.
- Results revealed that high PI patients had fewer lower lumbar spine fractures than low PI patients, with fall from height being a major cause of neurological deficits, especially among those with certain types of injuries.