• Andrew T Dailey, Paul M Arnold, Paul A Anderson, John H Chi, Sanjay S Dhall, Kurt M Eichholz, James S Harrop, Daniel J Hoh, Sheeraz Qureshi, Craig H Rabb, P B Raksin, Michael G Kaiser, and John E O'Toole.
• Department of Neurosurgery, University of Utah, Salt Lake City, Utah.
• Neurosurgery. 2019 Jan 1; 84 (1): E24-E27.

Question 1Are there classification systems for fractures of the thoracolumbar spine that have been shown to be internally valid and reliable (ie, do these instruments provide consistent information between different care providers)?Recommendation 1A classification scheme that uses readily available clinical data (eg, computed tomography scans with or without magnetic resonance imaging) to convey injury morphology, such as Thoracolumbar Injury Classification and Severity Scale or the AO Spine Thoracolumbar Spine Injury Classification System, should be used to improve characterization of traumatic thoracolumbar injuries and communication among treating physicians. Strength of Recommendation: Grade B.Question 2In treating patients with thoracolumbar fractures, does employing a formally tested classification system for treatment decision-making affect clinical outcomes?Recommendation 2There is insufficient evidence to recommend a universal classification system or severity score that will readily guide treatment of all injury types and thereby affect outcomes. Strength of Recommendation: Grade Insufficient The full version of the guideline can be reviewed at: https://www.cns.org/guideline-chapters/congress-neurological-surgeons-systematic-review-evidence-based-guidelines/chapter_2.

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